# DOUGLAS CROWLEY MD, INC

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

## Provider details

- **NPI number:** 1942564653
- **Authorized official:** DOUGLAS MICHAEL CROWLEY MD (CEO/ SOLE PROVIDER)
- **Authorized official phone:** (760) 815-7064

## Contact information

- **Practice address:** 3863 CLAIREMONT DR, SAN DIEGO, CA 92117-5831
- **Practice address phone:** (858) 500-2693
- **Mailing address:** 940 BLUEJACK RD, ENCINITAS, CA 92024-4061
- **Mailing address phone:** (760) 815-7064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | A107750 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 10/02/2013