Individual
DR. MANJU CHACKO DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5971 VENICE BLVD, LOS ANGELES, CA 90034-1713
(323) 857-4322
Mailing address
5971 VENICE BLVD, LOS ANGELES, CA 90034-1713
(323) 857-4322
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
246191-1
NY
207N00000X
Dermatology Physician
Primary
A121539
CA
207N00000X
Dermatology Physician
FD2807052
CA
Other
Enumeration date
05/27/2008
Last updated
04/13/2017
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