Provider Demographics
NPI:1104008382
Name:RAWLINGS, DANA LINNEA (OD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:LINNEA
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LINNEA
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:640 GOLDEN SPRINGS DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1170
Mailing Address - Country:US
Mailing Address - Phone:626-290-8193
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKES DR STE 180
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2927
Practice Address - Country:US
Practice Address - Phone:626-919-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12853T152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation