Dawson, Nicole Ann
Dawson, Nicole Ann is an individual health care provider with primary practice located at 10833 Le Conte Ave Chs B-186, Los Angeles CA 90095-3075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Dawson, Nicole Ann can be contacted via phone (310) 794-8285.Contact Information
Primary practice address
10833 Le Conte Ave Chs B-186
Los Angeles CA 90095-3075
Phone: (310) 794-8285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A65764 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A65764 | California |
Profile Details
| NPI number | 1124061601 |
|---|---|
| LBN Legal business name | Dawson, Nicole Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 25th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124061601 | NPPES |
| California | MEDICAID | 00A657640 |
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