MRS. ANDREA JEAN DOUGLAS P.A.C. NPI 1376585497

NPI Information

NPI: 1376585497
Provider Name: MRS. ANDREA JEAN DOUGLAS, P.A.C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741
Phone: (626) 963-9402
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MRS. Andrea Jean Douglas, P.A.C. is a medical physician assistant in Glendora, CA with 24 years of experience. MRS. Andrea Jean Douglas, P.A.C. NPI is 1376585497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741-361
Phone: (626) 963-9402
Fax: (626) 914-5316

The NPI 1376585497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/31/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	15575	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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