MEDICARE: DR. EDWIN ALLAN DOVIGI 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	207N00000X	Dermatology Physician	A199650	CA

General Provider Information

NPI Number	:	1588228167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN ALLAN DOVIGI MD

Provider Business Mailing Address
First Line	:	3600 FORBES AVE STE 140
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 FAIRMOUNT AVE STE 425
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3188
Country	:	US
Telephone Number	:	626-449-9992
Fax Number	:	626-449-4504

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

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	03/24/2026

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