Individual
DAWN FISHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1520 SAN PABLO ST, STE 3800, LOS ANGELES, CA 90033-5310
(323) 442-5720
(323) 442-7543
Mailing address
1520 SAN PABLO ST, STE 3800, LOS ANGELES, CA 90033-5310
(323) 442-5720
(323) 442-7543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 12877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BT801Z
PTAN
CA
Enumeration date
04/23/2007
Last updated
12/22/2009
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