Organization
IAN DWORKIN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN DWORKIN MD (DIRECTOR)
(949) 491-9991
Entity
Organization
Contact information
Practice address
3300 W COAST HWY STE A, NEWPORT BEACH, CA 92663-4025
(949) 491-9991
Mailing address
1130 LAKE ST APT 2, VENICE, CA 90291-3112
(610) 547-9449
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
03/17/2020
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