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Search › California › 207L00000X

Michael Douglas, M.D

NPI 1639523665 · on the registry since 2016

Practice

Address
26520 Cactus Ave
Moreno Valley, CA 92555
Phone
(951) 486-4574
Organisation at this address
Taqi'S Inc.
County Of Riverside
County Of Riverside
County Of Riverisde
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
685

Additional practice sites

  • 11234 Anderson St, Loma Linda, CA

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
207R00000X
208M00000X
207LC0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-27

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