Jamie L Macdougall in Manhattan Beach - Procedural Dermatology
Jamie L Macdougall - NPI 1932186582
Jamie L Macdougall is a Procedural Dermatology in Manhattan Beach, California. Jamie L Macdougall practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Jamie L Macdougall is 1932186582. The last update date is 2009-07-22.
Jamie L Macdougall's current location address is 828 Manhattan Beach Blvd, Manhattan Beach, California. You can contact this provider via phone number 3105452900 and fax number 3105452906. The mailing address for Jamie L Macdougall is 828 Manhattan Beach Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie L Macdougall |
|---|---|
| Address | 828 Manhattan Beach Blvd, Manhattan Beach, California |
| Phone Number | 3105452900 |
| Fax Number | 3105452906 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932186582 |
|---|---|
| Provider Enumeration Date | 2005-12-26 |
| Last Updated Date | 2009-07-22 |
Provider Mailing Address Detail
| Address | 828 Manhattan Beach Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902664931 |
| Phone Number | 3105452900 |
| Fax Number | 3105452906 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G55441 |
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Definition: 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 surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G55441 | CA | STATE LICENSE NUMBER |
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What is the Jamie L Macdougall's 1932186582?
The Jamie L Macdougall's NPI (National Provider Identifier) Number is 1932186582. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jamie L Macdougall's physical address?
The Jamie L Macdougall is physically located at 828 Manhattan Beach Blvd, in the city of Manhattan Beach, CA, with the postal code 902664931.
What is Jamie L Macdougall's area of expertise and its corresponding taxonomy classification?
The Jamie L Macdougall's field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jamie L Macdougall receive its 1932186582 assignment from the Centers for Medicare & Medicaid Services?
The Jamie L Macdougall was assigned its 1932186582 by the Centers for Medicare & Medicaid Services on 2005-12-26.
As of what date were the Jamie L Macdougall's details last updated?
The information pertaining to the Jamie L Macdougall, including its address, specialty, and other details, was most recently updated on 2009-07-22.
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