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NPI Code Detail

MEDICARE: DR. DOUGLAS SEARS M.D.

MEDICARE:  DR. DOUGLAS  SEARS  M.D.
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
1174400000XSpecialistG69828CA

General Provider Information

NPI Number : 1720062664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS SEARS M.D.
Provider Business Mailing Address
First Line : 16055 VENTURA BLVD
Second Line : SUITE 670
City : ENCINO
State : CA
Zip : 91436-2601
Country : US
Telephone Number : 818-784-8481
Fax Number : 818-784-8471
Provider Business Practice Location Address
First Line : 16055 VENTURA BLVD
Second Line : SUITE 670
City : ENCINO
State : CA
Zip : 91436-2601
Country : US
Telephone Number : 818-784-8481
Fax Number : 818-784-8471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 02/07/2023

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Directions to “ DR. DOUGLAS SEARS M.D.” Practice Location

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