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Jamie L Macdougall Md
Medical Specialty Clinic/Center in Manhattan Beach, California
NPI 1134389489

Jamie L Macdougall Md is a Medical Specialty Clinic/Center based in Manhattan Beach, CA and is specialized in Medical Specialty. Jamie L Macdougall Md practices in Manhattan Beach, CA. The NPI Number for Jamie L Macdougall Md is 1134389489 and holds a License No. G55441 (California).

The current practice location address for Jamie L Macdougall Md is 828 Manhattan Beach Blvd, Manhattan Beach, CA and can be reached out via phone at 310-545-2900 and via fax at 310-545-2906.

Location: 828 Manhattan Beach Blvd, Manhattan Beach, CA, 90266-4931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134389489
Provider Name
Jamie L Macdougall Md
Credential
Provider Entity Type
Organization
Address
828 Manhattan Beach Blvd, Manhattan Beach, CA, 90266-4931
Phone Number
310-545-2900
Fax Number
310-545-2906
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G55441 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
828 Manhattan Beach Blvd
City
Manhattan Beach
State
California
Zip
90266-4931
Phone Number
310-545-2900
Fax Number
310-545-2906
person
Provider Business Mailing Address Details
Address
828 Manhattan Beach Blvd
City
Manhattan Beach
State
California
Zip
90266-4931
Phone Number
310-545-2900
Fax Number
310-545-2906
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G55441 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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