Douglas Rene Bourgon in Pasadena - Specialist
Douglas Rene Bourgon - NPI 1730138876
Douglas Rene Bourgon is a Specialist in Pasadena, California. Douglas Rene Bourgon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas Rene Bourgon is 1730138876. The last update date is 2015-07-09.
Douglas Rene Bourgon's current location address is File 1687, Pasadena, California. You can contact this provider via phone number 4157505687 and fax number 4156835591. The mailing address for Douglas Rene Bourgon is File 1687, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas Rene Bourgon |
---|---|
Address | File 1687, Pasadena, California |
Phone Number | 4157505687 |
Fax Number | 4156835591 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1730138876 |
---|---|
Provider Enumeration Date | 2006-05-08 |
Last Updated Date | 2015-07-09 |
Provider Mailing Address Detail
Address | File 1687 |
---|---|
City | Pasadena |
State | California (CA) |
Post Code | 911991687 |
Phone Number | 4157505687 |
Fax Number | 4156835591 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 985247 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00248458 | RAILROAD MEDICARE PIN | ||
00A852470 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas Rene Bourgon?
The Douglas Rene Bourgon has been issued the NPI (National Provider Identifier) 1730138876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Douglas Rene Bourgon is located?
The Douglas Rene Bourgon is situated at the following address: File 1687, Pasadena, CA, 911991687.
What is Douglas Rene Bourgon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Douglas Rene Bourgon is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1730138876 assigned to Douglas Rene Bourgon?
The Douglas Rene Bourgon was issued its 1730138876 on 2006-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Douglas Rene Bourgon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas Rene Bourgon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-09.