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DOUGLAS A. BLOSE M.D.INC NPI 1841470580


NPI Information

NPI: 1841470580
Provider Name: DOUGLAS A. BLOSE M.D.,INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
11525 BROOKSHIRE AVE
STE 101
DOWNEY, CA
ZIP 90241
Phone: (562) 923-6450
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DOUGLAS A. BLOSE M.D.,INC is a dermatology in Downey, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DOUGLAS A. BLOSE M.D.,INC NPI is 1841470580. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11525 BROOKSHIRE AVE
STE 101
DOWNEY, CA
ZIP 90241-985
Phone: (562) 923-6450
Fax: (562) 923-0049

The provider's authorized official is Douglas Alan Blose .
The authorized official title is President and has the following contact phone number (562) 923-6450.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/9/2007.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryG50355CALIFORNIANo
2207ND0900XDermatologyDermatopathologyG50355CALIFORNIANo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyG50355CALIFORNIANo
4207NP0225XDermatologyPediatric DermatologyG50355CALIFORNIANo
5207NS0135XDermatologyProcedural DermatologyG50355CALIFORNIANo
6207N00000XDermatologyG50355CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18025MEDICARE UPINCALIFORNIA

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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