Individual
IAN DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
(855) 906-7246
Mailing address
1130 LAKE ST APT 2, VENICE, CA 90291-3112
(610) 547-9449
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A140257
CA
Other
Enumeration date
04/01/2014
Last updated
10/15/2019
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