Individual
MICHAEL J DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E HARDY STREET, CENTINELA HOSPITAL MEDICAL CENTER, INGLEWOOD, CA 90301
(310) 673-4660
Mailing address
PO BOX 5686, ORANGE, CA 92863-5686
(888) 598-8819
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A55255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A552550
BLUE SHIELD
—
05
—
00A552550
—
CA
01
—
00A552550E02
CALOPTIMA
—
01
—
050739CH29786
TRAILBLAZER
—
01
—
300121407
RAILROAD MEDICARE
—
Enumeration date
12/27/2005
Last updated
05/19/2009
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