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DOUGLAS M KEEL DO INC NPI 1285961623


NPI Information

NPI: 1285961623
Provider Name: DOUGLAS M KEEL DO INC

Doing Business As: PACIFIC DERMATOLOGY & COSMETIC LASER CENTER

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D2042309

Address:
8899 UNIVERSITY CENTER LN
SUITE 150
SAN DIEGO, CA
ZIP 92122
Phone: (858) 535-1400
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DOUGLAS M KEEL DO INC is a procedural dermatology dermatology in San Diego, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DOUGLAS M KEEL DO INC NPI is 1285961623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Dermatology & Cosmetic Laser Center.

The provider's business location address is:

8899 UNIVERSITY CENTER LN
SUITE 150
SAN DIEGO, CA
ZIP 92122-013
Phone: (858) 535-1400

The provider's authorized official is Douglas Michael Keel .
The authorized official title is President and has the following contact phone number (858) 535-1400.

The CLIA number assigned to this NPI record is 05D2042309 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/5/2009 and was last updated on 10/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology20A7081CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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