Macdougall, Jamie L
Macdougall, Jamie L is an sole proprietor health care provider with primary practice located at 828 Manhattan Beach Blvd , Manhattan Beach CA 90266-4931. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Macdougall, Jamie L can be contacted via phone (310) 545-2900.Contact Information
Primary practice address
828 Manhattan Beach Blvd
Manhattan Beach CA 90266-4931
Phone: (310) 545-2900
Fax: (310) 545-2906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G55441 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G55441 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | G55441 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G55441 | California |
Profile Details
| NPI number | 1932186582 |
|---|---|
| LBN Legal business name | Macdougall, Jamie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2005 |
| Last updated | Jul 22nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932186582 | NPPES |
| California | Other | G55441 | STATE LICENSE NUMBER |
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