MEDICARE: MS. DAWN M CONAHAN MS, RD

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	133V00000X	Registered Dietitian	813510	CA

General Provider Information

NPI Number	:	1396535720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN M CONAHAN MS, RD

Provider Business Mailing Address
First Line	:	4409 HENLEY CT
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4409 HENLEY CT
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4306
Country	:	US
Telephone Number	:	805-300-2595
Fax Number	:

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

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

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