Provider Demographics
NPI:1629054929
Name:DOWELL, EVELYN H (MD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:H
Last Name:DOWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:247 W HARVARD BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-3223
Mailing Address - Country:US
Mailing Address - Phone:805-525-0907
Mailing Address - Fax:866-402-8906
Practice Address - Street 1:3333 SKYPARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5023
Practice Address - Country:US
Practice Address - Phone:310-784-6316
Practice Address - Fax:310-784-6314
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA60775AMedicare ID - Type Unspecified
G85328Medicare UPIN