Individual
JULIE V. DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20911 EARL ST STE 100, TORRANCE, CA 90503-4354
(310) 370-8001
(310) 370-1590
Mailing address
32420 NAUTILUS DR, RANCHO PALOS VERDES, CA 90275-6002
(310) 544-5535
(310) 370-1590
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G067820
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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