Provider Demographics
NPI:1528110186
Name:DAWN ATWAL MD INC
Entity type:Organization
Organization Name:DAWN ATWAL MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:PARVEEN
Authorized Official - Last Name:ATWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-317-9850
Mailing Address - Street 1:31852 COAST HWY STE 410
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6767
Mailing Address - Country:US
Mailing Address - Phone:949-516-2020
Mailing Address - Fax:866-729-9762
Practice Address - Street 1:31852 COAST HWY STE 410
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6767
Practice Address - Country:US
Practice Address - Phone:949-516-2020
Practice Address - Fax:877-729-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73846207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1275579278OtherTYPE 1 - NPI
CAHG73846Medicare ID - Type Unspecified
CA1275579278OtherTYPE 1 - NPI