Individual
DOUGLAS EUGENE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28062 BAXTER RD, MURRIETA, CA 92563-1401
(951) 290-4112
Mailing address
3156 VISTA WAY, SUITE 405, OCEANSIDE, CA 92056-3622
(760) 439-6581
(760) 439-6585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G066549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G665490
—
CA
Enumeration date
10/24/2005
Last updated
09/04/2012
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