Macdougall, Jamie L

Macdougall, Jamie L is an sole proprietor health care provider with primary practice located at 828 Manhattan Beach Blvd , Manhattan Beach CA 90266-4931. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Macdougall, Jamie L can be contacted via phone (310) 545-2900.

Contact Information

Primary practice address
828 Manhattan Beach Blvd Manhattan Beach CA 90266-4931
Phone: (310) 545-2900
Fax: (310) 545-2906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G55441 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G55441 California
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X G55441 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G55441 California

Profile Details

NPI number 1932186582
LBN Legal business name Macdougall, Jamie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2005
Last updated Jul 22nd, 2009 - about 16 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 1932186582 NPPES
California Other G55441 STATE LICENSE NUMBER

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