Individual
DR. DOUGLAS A BLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11525 BROOKSHIRE AVE, DOWNEY, CA 90241-4985
(562) 923-6450
(562) 923-0049
Mailing address
11525 BROOKSHIRE AVE, DOWNEY, CA 90241-4985
(562) 923-6450
(562) 923-0049
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G50355
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G50355
CA
207ND0900X
Dermatopathology Physician
G50355
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G50355
CA
207NP0225X
Pediatric Dermatology Physician
G50355
CA
207NS0135X
Procedural Dermatology Physician
G50355
CA
Other
Enumeration date
01/26/2006
Last updated
11/16/2007
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