Provider Demographics
NPI:1356935845
Name:VANDYNE, AARON M (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:VANDYNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9099 MEADOWRUN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3330
Mailing Address - Country:US
Mailing Address - Phone:757-775-8259
Mailing Address - Fax:
Practice Address - Street 1:3985 CUMMINGS RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-2111
Practice Address - Country:US
Practice Address - Phone:619-556-3712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012765682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry