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NPI Code Detail

MEDICARE: DR. DAVID EUGENE DASSEY MD

MEDICARE:  DR. DAVID EUGENE DASSEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine PhysicianC038835CA

General Provider Information

NPI Number : 1306043633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID EUGENE DASSEY MD
Provider Business Mailing Address
First Line : 1918 N HOOVER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-2806
Country : US
Telephone Number : 323-660-7238
Fax Number : 213-482-4856
Provider Business Practice Location Address
First Line : 313 N FIGUEROA ST
Second Line : ROOM 212
City : LOS ANGELES
State : CA
Zip : 90012-2602
Country : US
Telephone Number : 213-240-7941
Fax Number : 213-482-4856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID EUGENE DASSEY MD” Practice Location

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