Healthcare Provider Details
I. General information
NPI: 1669547055
Provider Name (Legal Business Name): MAY MUDARRY DAW M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14831 WHITTIER BLVD SUITE # 103
WHITTIER CA
90605-1790
US
IV. Provider business mailing address
PO BOX 4666
WHITTIER CA
90607-4666
US
V. Phone/Fax
- Phone: 562-945-3747
- Fax: 562-693-5272
- Phone: 562-945-3747
- Fax: 562-693-5272
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A31838 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | A31838 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: