Prisco, Douglas Louis
Prisco, Douglas Louis is an individual health care provider with primary practice located at 11333 Sepulveda Blvd , Mission Hills CA 91345-1116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Prisco, Douglas Louis can be contacted via phone (818) 365-9531.Contact Information
Primary practice address
11333 Sepulveda Blvd
Mission Hills CA 91345-1116
Phone: (818) 365-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 236893 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 236893 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A108810 | California |
Profile Details
| NPI number | 1154537058 |
|---|---|
| LBN Legal business name | Prisco, Douglas Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Apr 3rd, 2014 - about 10 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 | 1154537058 | NPPES |
| California | MEDICAID | 00A1088100 | |
| California | Other | GR0100430 | |
| California | Other | 1902846306 | |
| California | Other | W18762 |
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