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Individual

DR. KATIE ELIZABETH HAWK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7053
Mailing address
1244 11TH ST APT H, SANTA MONICA, CA 90401-2018
(602) 791-5403

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
66745
AZ
207P00000X
Emergency Medicine Physician
Primary
A178958
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2019
Last updated
06/09/2022
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