Healthcare Provider Details

I. General information

NPI: 1932507068
Provider Name (Legal Business Name): DAWN ENZWEILER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E PALOMAR ST
CHULA VISTA CA
91911-6974
US

IV. Provider business mailing address

645 E PALOMAR ST
CHULA VISTA CA
91911-6974
US

V. Phone/Fax

Practice location:
  • Phone: 619-316-0330
  • Fax: 619-316-0330
Mailing address:
  • Phone: 619-421-6500
  • Fax: 619-421-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039807L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: