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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770715575 | NPPES |
| California | Other | A110631 | STATE MEDICAL BOARD LICENSE |
| California | Other | 12086268 | STATE MEDICAL BOARD LICENSE |
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