Most Relevant Information
Provider Data
| NPI Number: | 1003665043 |
| Provider Name: | STEVEN L DOTSON |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | R1543370124 |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
2424 WILSHIRE BLVD APT 507
LOS ANGELES
CA
900573352
Practice Location Phone/Fax
| Phone: | 2135864484 |
| Fax: |
Provider Mailing Location
2424 WILSHIRE BLVD APT 507
LOS ANGELES
CA
900573352
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |