Individual
NICOLE ANN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, CHS B-186, LOS ANGELES, CA 90095-3075
(310) 794-8285
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
A65764
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A65764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A657640
—
CA
Enumeration date
06/13/2006
Last updated
08/25/2009
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