# RAYMOND DOUGLAS, M.D., PHD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437773520
- **Authorized official:** KAREN M MULLEN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (310) 657-4302

## Contact information

- **Practice address:** 9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
- **Practice address phone:** (310) 363-8757
- **Practice address fax:** (310) 363-8758
- **Mailing address:** 9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
- **Mailing address phone:** (310) 363-8757
- **Mailing address fax:** (310) 363-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 09/08/2023