Individual
DR. DOUGLAS LIONEL POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Mailing address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G48606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G486060
BLUE SHIELD
CA
05
—
00G486060
—
CA
Enumeration date
06/08/2006
Last updated
10/19/2012
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