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Organization

DAWN ELIASHIV MD INC. A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN S ELIASHIV M.D (MEDICAL DOCTOR)
(310) 659-2391
Entity
Organization

Contact information

Practice address
8635 W 3RD ST STE 1080W, LOS ANGELES, CA 90048-6183
(310) 659-2391
(310) 388-5212
Mailing address
PO BOX 11448, BEVERLY HILLS, CA 90213-4448
(310) 659-2391
(310) 388-5212

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A52594
CA
2084N0600X
Clinical Neurophysiology Physician
A52594
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A525940
CA
Enumeration date
09/25/2012
Last updated
02/07/2013
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