Provider Demographics
NPI:1700822764
Name:CALVIN, DOROTHY L (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:L
Last Name:CALVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8833 RESEDA BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5356
Mailing Address - Country:US
Mailing Address - Phone:818-727-2626
Mailing Address - Fax:818-727-2625
Practice Address - Street 1:8833 RESEDA BLVD STE D
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5356
Practice Address - Country:US
Practice Address - Phone:818-727-2626
Practice Address - Fax:818-727-2625
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG071843207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist