Individual
KRISTA MARIE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-4061
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-4061
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A164649
CA
Other
Enumeration date
03/24/2018
Last updated
01/21/2025
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