NPI 1306816657

Douglas a Blose, MD

Practitioner Dermatology Physician Downey, CA

Practice location

Address: 11525 Brookshire Ave, Downey, CA 90241-4985
Phone: (562) 923-6450
Fax: (562) 923-0049

Registered specialties (6)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence G50355 (CA)

Other Dermatology providers in California →

Clinical & Laboratory Dermatological Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence G50355 (CA)

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence G50355 (CA)

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence G50355 (CA)

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence G50355 (CA)

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence G50355 (CA)

Registry record

NPI: 1306816657
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2006
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.