Individual
DR. CHAFIK DAKAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3737 MARTIN LUTHER KING BLVD., SUITE 205, LYNWOOD, CA 90262
(310) 604-0105
Mailing address
3737 MARTIN L. KING BLVD, #205, LYNWOOD, CA 90262
(310) 604-0105
(310) 604-1211
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C42844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C428441
—
CA
Enumeration date
07/19/2006
Last updated
11/09/2012
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