Organization
DAWN M. TERASHITA, PC
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FISHBURN (CHIEF OPERATING OFFICER)
(480) 646-9020
Entity
Organization
Contact information
Practice address
15455 RED HILL AVENUE, SUITE A, TUSTIN, CA 92780-7313
(714) 258-7196
(877) 877-6875
Mailing address
668 N 44TH ST, SUITE 100W, PHOENIX, AZ 85008-6507
(877) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
261Q0000X
CA
Other
Enumeration date
03/13/2014
Last updated
05/25/2022
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