Individual
CHRISTOPHER MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 PACIFIC AVE, EMERGENCY DEPARTMENT, LONG BEACH, CA 90806-2613
(562) 595-1911
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G38413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G384130
—
CA
Enumeration date
06/03/2006
Last updated
10/22/2009
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