DR. MANJU CHACKO DAWKINS (NPI# 1326206301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326206301 |
| Entity Type | Individual |
| Full Name | DR. MANJU CHACKO DAWKINS |
| Other Name | DR. MANJU TRACY CHACKO |
| Credential | M.D. |
| Practice Address |
5971 Venice Blvd Los Angeles CA 90034-1713 |
| Practice Telephone | 3238574322 |
| Mailing Telephone | 3238574322 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | FD2807052 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | A121539 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 246191-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5971 VENICE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215900196 | Kirk Joseph Luetkehans | Pediatrics | 5971 Venice Blvd, Los Angeles, CA 90034 | 2006-02-09 |
| 1497245815 | Diane Elizabeth Batham-garcia | Nurse Practitioner | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2018-05-10 |
| 1346658689 | Tracy Paula Trang | Pharmacist | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2014-07-30 |
| 1053669267 | Kathleen Wan-jane Lo | Pharmacist | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2012-08-20 |
| 1659638120 | Daniel Zaghi | Dermatology | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2012-04-20 |
| 1841561594 | Anamae Marie Freehauf | Speech-Language Pathologist | 5971 Venice Blvd, Basement Fl., Los Angeles, CA 90034-1713 | 2012-01-25 |
| 1992955884 | Sophia Sowon Chen | Pharmacist | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2008-09-26 |
| 1497949788 | Parisa Sobhani | Pharmacist | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2007-08-30 |
| 1063618288 | Craig Holt Lowery | Speech-Language Pathologist | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2007-06-25 |
| 1003035999 | Amy Yeh-chu Liou | Genetic Counselor, MS | 5971 Venice Blvd, Los Angeles, CA 90034-1713 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1679120422 | Sameer Bashey Md Pllc | Dermatology | 9201 W Sunset Blvd Ste 414, Los Angeles, CA 90069-3705 | 2019-08-26 |
| 1538640669 | James Y. Wang, Md, Inc. | Dermatology | 888 S Figueroa St Ste 1050, Los Angeles, CA 90017-5310 | 2018-08-27 |
| 1235639691 | Pearl E. Grimes Md, Inc. | Dermatology | 5670 Wilshire Blvd Ste 650, Los Angeles, CA 90036-5609 | 2018-02-12 |
| 1578926622 | Tuyet Ann Nguyen | Dermatology | 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | 2016-04-05 |
| 1215370960 | Courtney Phillips | Dermatology | 1200 N State St # 3250, Los Angeles, CA 90033-1029 | 2013-04-12 |
| 1760749311 | Ardalan Minokadeh | Dermatology | 9201 W Sunset Blvd Ste 602, Los Angeles, CA 90069-3707 | 2012-04-20 |
| 1518254481 | Samuel Jackson Balin | Dermatology | 200 Medical Plz Ste 450, Los Angeles, CA 90095 | 2011-06-29 |
| 1689963340 | Consuelo Veronica David | Dermatology | 3520 Somerset Dr, Los Angeles, CA 90016-4808 | 2011-04-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.