MEDICARE: PHILIP S DOH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	C53318	CA

General Provider Information

NPI Number	:	1679511638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP S DOH MD

Provider Business Mailing Address
First Line	:	266 S HARVARD BLVD
Second Line	:	STE 350
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4372
Country	:	US
Telephone Number	:	213-444-6255
Fax Number	:	866-611-7731

Provider Business Practice Location Address
First Line	:	266 S HARVARD BLVD
Second Line	:	# 350
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4372
Country	:	US
Telephone Number	:	213-444-6255
Fax Number	:	866-611-7731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/10/2016

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Directions to “ PHILIP S DOH MD” Practice Location

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