Individual
DR. VIJAY M DHAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 721-9411
(323) 887-4932
Mailing address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 721-9411
(323) 887-4932
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A32299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A322990
—
CA
Enumeration date
06/15/2006
Last updated
11/18/2011
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