Provider Demographics
NPI:1578724373
Name:DESYLVIA, DAWN ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:ANNE
Last Name:DESYLVIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:23126 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3530
Mailing Address - Country:US
Mailing Address - Phone:310-928-2626
Mailing Address - Fax:
Practice Address - Street 1:955 CARRILLO DR STE 108
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5400
Practice Address - Country:US
Practice Address - Phone:310-914-3400
Practice Address - Fax:424-293-8901
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine