Dougherty, Paul J
Dougherty, Paul J is an individual health care provider with primary practice located at 4353 Park Terrace Dr Ste 150, Westlake Village CA 91361-4631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dougherty, Paul J can be contacted via phone (805) 987-5300.Contact Information
Primary practice address
4353 Park Terrace Dr Ste 150
Westlake Village CA 91361-4631
Phone: (805) 987-5300
Fax: (818) 707-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G70688 | California |
Profile Details
| NPI number | 1083744775 |
|---|---|
| LBN Legal business name | Dougherty, Paul J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 5th, 2022 - about 2 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 | 1083744775 | NPPES |
| California | MEDICAID | 00G706880 |
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