MEDICARE: DR. JO ANN DAWSON 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
1	208000000X	Pediatrics Physician	C36323	CA

General Provider Information

NPI Number	:	1255457990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JO ANN DAWSON MD

Provider Business Mailing Address
First Line	:	221 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1703
Country	:	US
Telephone Number	:	310-206-6216
Fax Number	:	310-206-2747

Provider Business Practice Location Address
First Line	:	221 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1703
Country	:	US
Telephone Number	:	310-206-6216
Fax Number	:	310-206-2747

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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