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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083744775 NPPES
California MEDICAID 00G706880

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