Physician Compare National (NPI:1306802525)

HEALTHCARE PROVIDER: DOUGLAS JEFFREY POFF D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306802525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890821458
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100407000568
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POFF
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	500 PACIFIC COAST HWY 210B
	Group Practice or individual's line 1 address
City	SEAL BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907406642
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5624316688
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y