MEDICARE: DR. DAWN TERASHITA 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	2083P0901X	Public Health & General Preventive Medicine Physician	A73908	CA

General Provider Information

NPI Number	:	1962696146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN TERASHITA MD

Provider Business Mailing Address
First Line	:	313 N FIGUEROA ST # 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2602
Country	:	US
Telephone Number	:	213-250-8658
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 N FIGUEROA ST # 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2602
Country	:	US
Telephone Number	:	213-250-8658
Fax Number	:

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

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	08/30/2007

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