Search › California › 183500000X
Douglas Park
NPI 1750978722 · on the registry since 2020
Practice
- Address
- 13303 South St
Cerritos, CA 90703 - Phone
- (562) 865-0612
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-01
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