Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | E3596 | CA |
NPI | 1558441402 |
---|---|
Provider Name | Dr. Douglas Lawrence Mccune |
First Address | Seal Beach, CA 90740-2433 |
Second Address | Seal Beach, CA 90740-4907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 06/04/2017 |