Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | G019871 | CA |
N | 2086S0129X | Vascular Surgeon | MD428117 | PA |
NPI | 1013020411 |
---|---|
Provider Name | Dr. Douglas Albert Brownell |
First Address | Huntington Beach, CA 92649-3857 |
Second Address | Orange, CA 92868-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40778 | (02) | CA |