<Unavail>
LBN: Paul J Dougherty M D Inc
<Unavail> is an health care organization with primary practice located at 4353 Park Terrace Dr Ste 150 , Westlake Village CA 91361-4631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Paul J Dougherty M D Inc can be contacted via phone (805) 987-5300, or through Bazhaw, Clifton Chad via phone (214) 893-0471.
Contact Information
Primary practice address
4353 Park Terrace Dr Ste 150
Westlake Village CA 91361-4631
Phone: (805) 987-5300
Fax: (818) 707-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G70688 | California |
Profile Details
| NPI number | 1649203639 |
|---|---|
| LBN Legal business name | Paul J Dougherty M D Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Bazhaw, Clifton Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 2nd, 2026 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649203639 | NPPES |
| California | MEDICAID | GR0100440 | |
| California | MEDICAID | GR0100441 |
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