Healthcare Provider Details

I. General information

NPI: 1255039301
Provider Name (Legal Business Name): ERIC ARTHUR DUNIPACE MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEDICAL PLAZA STE 2200
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

757 WESTWOOD PLZ PSYCHIATRY
LOS ANGELES CA
90095-7419
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-6373
  • Fax:
Mailing address:
  • Phone: 310-206-6721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA202696
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: