Individual
DR. DOR MARKUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1153
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-131097
OH
2080P0202X
Pediatric Cardiology Physician
Primary
A157959
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-131097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224012
—
OH
Enumeration date
05/02/2011
Last updated
09/25/2018
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