# PAUL J DOUGHERTY M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DLV Vision Management LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649203639
- **Authorized official:** CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4631
- **Practice address phone:** (805) 987-5300
- **Practice address fax:** (818) 707-7668
- **Mailing address:** 4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4631
- **Mailing address phone:** (805) 987-5300
- **Mailing address fax:** (818) 707-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G70688 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/02/2026