Daugherty, Bruce Charles

Daugherty, Bruce Charles is an sole proprietor health care provider with primary practice located at 5301 W 119Th Pl , Inglewood CA 90304-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Daugherty, Bruce Charles can be contacted via phone (310) 675-9285.

Contact Information

Primary practice address
5301 W 119Th Pl Inglewood CA 90304-1019
Phone: (310) 675-9285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C40455 California

Profile Details

NPI number 1811994478
LBN Legal business name Daugherty, Bruce Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Oct 1st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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