MEDICARE: DR. DAWN PIARULLI M.D.

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	207R00000X	Internal Medicine Physician	A120853	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RR0500X	Rheumatology Physician	A120853	CA

General Provider Information

NPI Number	:	1376864793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN PIARULLI M.D.

Provider Business Mailing Address
First Line	:	1200 N STATE ST
Second Line	:	CT-A7D
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-1001
Country	:	US
Telephone Number	:	323-409-6931
Fax Number	:	323-441-8185

Provider Business Practice Location Address
First Line	:	2011 ZONAL AVE
Second Line	:	HMR 711
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-0110
Country	:	US
Telephone Number	:	323-442-1946
Fax Number	:	323-442-2874

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

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	12/15/2021

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