MEDICARE: DR. DAWN RUNGE DC

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
1	111N00000X	Chiropractor	33799	CA

General Provider Information

NPI Number	:	1194239061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN RUNGE DC

Provider Business Mailing Address
First Line	:	3036 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1804
Country	:	US
Telephone Number	:	323-304-2892
Fax Number	:

Provider Business Practice Location Address
First Line	:	3036 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1804
Country	:	US
Telephone Number	:	323-304-2892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	07/24/2023

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Directions to “ DR. DAWN RUNGE DC” Practice Location

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