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Organization

PAUL J DOUGHERTY M D INC

Active
Other names
DLV Vision Management LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization

Contact information

Practice address
4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4631
(805) 987-5300
(818) 707-7668
Mailing address
4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4631
(805) 987-5300
(818) 707-7668

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G70688
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0100440
CA
05
GR0100441
CA
Enumeration date
07/10/2006
Last updated
03/02/2026
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