Healthcare Provider Details

I. General information

NPI: 1801888508
Provider Name (Legal Business Name): IAN LAUGHLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U. S. NAVAL HOSPITAL YOKOSUKA, JAPAN POSTAL SERVICE CENTER 475 BOX NUMBER 1
FPO AP
96350-1200
US

IV. Provider business mailing address

PSC 475 BOX 1
FPO AP
96350-1200
US

V. Phone/Fax

Practice location:
  • Phone: 858-829-1525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA88491
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: