Cottam, Dallas

Cottam, Dallas is an sole proprietor health care provider with primary practice located at 1300 N Vermont Ave Suite 403 Doctors Tower, Los Angeles CA 90027-6005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cottam, Dallas can be contacted via phone (323) 644-1300.

Contact Information

Primary practice address
1300 N Vermont Ave Suite 403 Doctors Tower Los Angeles CA 90027-6005
Phone: (323) 644-1300
Fax: (323) 644-0997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G27339 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G27339 California

Profile Details

NPI number 1043423056
LBN Legal business name Cottam, Dallas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Oct 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043423056 NPPES
California MEDICAID 00G27339

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