Individual
DR. DOUGLAS MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4671
(310) 657-5900
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G70267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G702670
—
CA
Enumeration date
08/16/2006
Last updated
06/22/2009
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