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Individual

DR. RAYMOND S DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A77544
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A775440
CA
Enumeration date
07/25/2006
Last updated
07/27/2023
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