Provider Demographics
NPI:1104655331
Name:SLAWASKA-ENG, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SLAWASKA-ENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N VERMONT
Mailing Address - Street 2:#513
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004
Mailing Address - Country:US
Mailing Address - Phone:514-887-7227
Mailing Address - Fax:
Practice Address - Street 1:1520 SAN PABLO ST USC ORTHOPEDICS KECK MEDICAL CENTER
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-442-5745
Practice Address - Fax:323-442-6952
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2025-09-09
Deactivation Date:2025-05-13
Deactivation Code:
Reactivation Date:2025-08-27
Provider Licenses
StateLicense IDTaxonomies
CA1104655331207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine