Individual
DOUGLAS G FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095-8344
(310) 267-9612
(310) 206-4197
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
A49584
CA
208600000X
Surgery Physician
A49584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A495840
—
CA
Enumeration date
07/12/2006
Last updated
12/30/2019
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