Susan Douglas M.D.

NPI 1053610824 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1053610824
Gender Female
Enumeration Date 03/19/2011
Last Updated 03/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
21 VIA SAN REMO
RANCHO PALOS VERDES CA, 90275-5374, US
Phone (310) 701-2155
Fax
Business Location
21 VIA SAN REMO
RANCHO PALOS VERDES CA, 90275-5374, US
Phone (310) 701-2155
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State California
License Number A052062
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According to our database, Dr. Susan Douglas M.D. NPI is 1053610824, taxonomy code is 2084N0400X and license number is A052062, license state is located at California. Susan Douglas M.D. physically located at 21 Via San Remo, Rancho Palos Verdes CA, 90275-5374. NPI Number Susan Douglas M.D. has the Individual type.

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1053610824 NPI number is provided on an as is basis without warranty of any kind. 1053610824 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Douglas M.D. are for informational purposes only.