Individual
DR. DOUGLAS PAUL SLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9080 COLIMA RD, WHITTIER, CA 90605-1600
(562) 907-1565
(562) 907-1585
Mailing address
22209 SILVERPOINTE LOOP, CORONA, CA 92883-5971
(951) 277-8984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A5918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX59180
—
CA
01
—
20A5918
MEDI-CAL
CA
Enumeration date
06/03/2006
Last updated
05/28/2008
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