Healthcare Provider Details

I. General information

NPI: 1699807495
Provider Name (Legal Business Name): KARL EMANUEL DOUYON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR
OXNARD CA
93036-2612
US

IV. Provider business mailing address

1504 UTIL CIR
OXNARD CA
93030-6191
US

V. Phone/Fax

Practice location:
  • Phone: 805-279-5767
  • Fax: 805-981-9064
Mailing address:
  • Phone: 805-983-1466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA81837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: