Dokukin, Andrei N

Dokukin, Andrei N is an sole proprietor health care provider with primary practice located at 3939 Atlantic Ave Ste 223 , Long Beach CA 90807-3535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dokukin, Andrei N can be contacted via phone (562) 633-1765.

Contact Information

Primary practice address
3939 Atlantic Ave Ste 223 Long Beach CA 90807-3535
Phone: (562) 633-1765
Fax: (949) 502-8887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X A110631 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A110631 California

Profile Details

NPI number 1770715575
LBN Legal business name Dokukin, Andrei N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2009
Last updated Mar 24th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770715575 NPPES
California Other A110631 STATE MEDICAL BOARD LICENSE
California Other 12086268 STATE MEDICAL BOARD LICENSE

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