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Individual

DR. JEFFREY DALE RAWNSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
924 WESTWOOD BLVD, SUITE 515, LOS ANGELES, CA 90024-2910
(310) 570-0244
Mailing address
547 CHAPALA DR, PACIFIC PALISADES, CA 90272-4430
(310) 459-9966

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G78843
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G788430
CA
Enumeration date
06/27/2006
Last updated
07/08/2007
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