Organization
VIJAY M DHAWAN M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY M DHAWAN M.D. (PRESIDENT)
(213) 700-0390
Entity
Organization
Contact information
Practice address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(213) 700-0390
Mailing address
3420 WEST BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(213) 700-0390
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
20A8058
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A32299
CA
Other
Enumeration date
08/14/2006
Last updated
09/11/2025
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