| Dr Manju Chacko Dawkins, MD | |
|
5971 Venice Blvd, Los Angeles, CA 90034-1713 | |
| (323) 857-4322 | |
| Not Available |
| Full Name | Dr Manju Chacko Dawkins |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 5971 Venice Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326206301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 246191-1 (New York) | Secondary |
| 207N00000X | Dermatology | A121539 (California) | Primary |
| 207N00000X | Dermatology | FD2807052 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Institute | 5991609737 | 313 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manju Chacko Dawkins, MD 5971 Venice Blvd, Los Angeles, CA 90034-1713 Ph: (323) 857-4322 | Dr Manju Chacko Dawkins, MD 5971 Venice Blvd, Los Angeles, CA 90034-1713 Ph: (323) 857-4322 |
Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200 | |
Yen Tun Wang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 888 S Figueroa St Ste 1050, Los Angeles, CA 90017 Phone: 213-319-3339 Fax: 213-408-4414 | |
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307 | |
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973 | |
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514 | |
Marie-josee Thibault, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751 | |
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420 |