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Andrei N Dokukin

Internist - Addiction Medicine Pain Medicine

3939 Atlantic Ave Ste 223
Long Beach , California 90807-3535

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Andrei N Dokukin

Internist - Addiction Medicine Pain Medicine

3939 Atlantic Ave Ste 223
Long Beach , California 90807-3535

(949) 502-8887

Write a Review Save Call

Andrei N Dokukin

Internist - Addiction Medicine Pain Medicine

3939 Atlantic Ave Ste 223
Long Beach , California 90807-3535

(949) 502-8887 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist - Addiction Medicine
  • Pain Medicine

Languages spoken

  • English

Location

3939 Atlantic Ave Ste 223 Long Beach , California 90807-3535

First Address

  • Andrei N Dokukin
  • 1439 W Chapman Ave # 46
  • Orange, CA
  • Zip : 92868-2738
  • Fax : (949) 502-8887
  • Phone : (562) 633-1765

Second Address

  • Andrei N Dokukin
  • 3939 Atlantic Ave Ste 223
  • Long Beach, CA
  • Zip : 90807-3535
  • Fax : (949) 502-8887
  • Phone : (562) 633-1765

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FAQs


Where did Andrei N Dokukin attend graduate school?

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Where did Andrei N Dokukin do his residency?

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Where did Andrei N Dokukin do his fellowship?

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Is Andrei N Dokukin board certified?

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What type of doctor is Andrei N Dokukin

Pain Medicine

In what state does Andrei N Dokukin practice in?

California

Where is Andrei N Dokukin ’s practice located?

3939 Atlantic Ave Ste 223 , Long Beach, California, 90807-3535

What is Andrei N Dokukin ’s gender?

Male

Is Andrei N Dokukin a sole practitioner?

No

Is Andrei N Dokukin accepting new patients?

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What languages does Andrei N Dokukin speak?

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Does Andrei N Dokukin accept insurance?

Yes, Andrei N Dokukin accepts insurance

Does Andrei N Dokukin offers telemedicine?

Andrei N Dokukin has not indicated if he offers telemedicine

What is Andrei N Dokukin ’s professional license number?

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What is Andrei N Dokukin ’s NPI number?

1770715575

Does Andrei N Dokukin have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207RA0401X Internist - Addiction Medicine A110631 CA
Y 2081P2900X Pain Medicine A110631 CA

National Provider Identifier

NPI 1770715575
Provider Name Andrei N Dokukin
First Address Orange, CA 92868-2738
Second Address Long Beach, CA 90807-3535
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 13/08/2009
Last Update Date 24/03/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
12086268 CAQH PROVIDER NUMBER (01) CA
A110631 STATE MEDICAL BOARD LICENSE (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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