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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY RAE DAWSON, MD

Active Sole Proprietor

SHELLY RAE DAWSON, MD is a Family Medicine healthcare provider located in MARINA, California. NPI 1619068103 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MARINA, CA

Registration Details

NPI Number
1619068103
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2006 (19.697844010653 yrs)
Last Updated
Jul 21, 2022
Licenses
0101238261 (VA)
C146662 (CA)
Sole Proprietor
Yes

Practice Information

Address
3130 DEL MONTE BLVD
MARINA, CA, 939333047
Browse CA providers · Browse ZIP 93933
Phone
8318833330
Fax
8318833335
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MARINA, CA

Name Credential NPI
DEBORAH BROWN M.D. 1376546044
SHAMA ANN JESUDASON MD 1881638575
DR. SHIRLEY LAURINE DICKINSON M.D. 1679500565
DR. JEFFREY C ETTINGER MD 1255366464
DR. NANCY W CHANG M.D. 1336157478
KENNETH J GJELTEMA M.D. 1225145543
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.