Provider Demographics
NPI:1528479383
Name:DADA, DOROTHY PATRICE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:PATRICE
Last Name:DADA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:PATRICE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1811 WILSHIRE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5626
Mailing Address - Country:US
Mailing Address - Phone:310-829-0260
Mailing Address - Fax:310-829-0263
Practice Address - Street 1:1811 WILSHIRE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5626
Practice Address - Country:US
Practice Address - Phone:310-829-0260
Practice Address - Fax:310-206-4733
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1427392084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology