Search › California › 175T00000X
Casey Doherty
NPI 1417635905 · on the registry since 2023
Practice
- Address
- 18646 Oxnard St Tarzana, Ca 91356
Tarzana, CA 91356 - Phone
- (818) 996-1051
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California