Individual
DOUGLAS KENT ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 ATLANTIC AVE STE 819, LONG BEACH, CA 90813-3410
(562) 435-5621
(562) 437-3121
Mailing address
1045 ATLANTIC AVE, 819, LONG BEACH, CA 90813
(562) 435-5621
(562) 437-3121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A24825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A248250
—
CA
Enumeration date
07/05/2006
Last updated
09/11/2018
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