Provider Demographics
NPI:1295760007
Name:DAWES, FRANKLIN L (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:L
Last Name:DAWES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:407 W IMPERIAL HWY
Mailing Address - Street 2:H-171
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4832
Mailing Address - Country:US
Mailing Address - Phone:562-365-3540
Mailing Address - Fax:562-365-3532
Practice Address - Street 1:407 W IMPERIAL HWY
Practice Address - Street 2:H-171
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4832
Practice Address - Country:US
Practice Address - Phone:562-365-3540
Practice Address - Fax:562-365-3532
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA60773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A607730Medicaid
CAH06494Medicare UPIN