Individual
DR. DALLAS COTTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER, LOS ANGELES, CA 90027-6005
(323) 644-1300
(323) 644-0997
Mailing address
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER, LOS ANGELES, CA 90027-6005
(323) 644-1300
(323) 644-0997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G27339
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G27339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G27339
—
CA
Enumeration date
05/07/2007
Last updated
10/02/2013
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