Organization
MICHAEL D DOUCETTE MD PROF CORP
Active
Other names
Acute & Diversified Psych
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID DOUCETTE MD (PRES)
(714) 758-1175
Entity
Organization
Contact information
Practice address
415 N STATE COLLEGE BLVD, ADP MEDICAL GROUP, ANAHEIM, CA 92806
(714) 758-1175
(714) 758-9201
Mailing address
415 N STATE COLLEGE BLVD, ANAHEIM, CA 92806
(714) 758-1175
(714) 758-9201
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
CA
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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