Provider Demographics
NPI:1699793570
Name:DAHLIA T CARR MD INC
Entity type:Organization
Organization Name:DAHLIA T CARR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:TOVA
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-659-5905
Mailing Address - Street 1:150 N ROBERTSON BLVD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2143
Mailing Address - Country:US
Mailing Address - Phone:310-659-5905
Mailing Address - Fax:310-659-1209
Practice Address - Street 1:150 N ROBERTSON BLVD
Practice Address - Street 2:SUITE 224
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2143
Practice Address - Country:US
Practice Address - Phone:310-659-5905
Practice Address - Fax:310-659-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty