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Contact Information

DOUGLAS A. BLOSE M.D.,INC
11525 BROOKSHIRE AVE
STE 101
DOWNEY, CA90241-4985
 Phone: 562-923-6450
 Fax: 562-923-0049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Clinical & Laboratory Dermatological Immunology

207NI0002X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DOUGLAS A. BLOSE M.D.,INC

NPI # 1841470580
LBN Legal business name DOUGLAS A. BLOSE M.D.,INC
Authorized official DOUGLAS BLOSE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2007
Last updated 11/09/2007 - About 19 years ago
Identifiers
CA License # G50355
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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