Individual
DR. SUSAN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 VIA SAN REMO, RANCHO PALOS VERDES, CA 90275-5374
(310) 701-2155
Mailing address
21 VIA SAN REMO, RANCHO PALOS VERDES, CA 90275-5374
(310) 701-2155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A052062
CA
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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