| Dr Rachelle Jeannea Douglass, MD | |
|
7901 Walker St, La Palma, CA 90623-1722 | |
| (714) 670-6133 | |
| Not Available |
| Full Name | Dr Rachelle Jeannea Douglass |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 7901 Walker St, La Palma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134156649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A104586 (California) | Primary |
| 207P00000X | Emergency Medicine | 2008009980 (Missouri) | Secondary |
| Entity Name | Montclair Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593 |
| Entity Name | Orange County Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rachelle Jeannea Douglass, MD Po Box 11177, Costa Mesa, CA 92627-1177 Ph: (816) 289-0533 | Dr Rachelle Jeannea Douglass, MD 7901 Walker St, La Palma, CA 90623-1722 Ph: (714) 670-6133 |
Jeffrey E Judson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7901 Walker St, La Palma, CA 90623 Phone: 714-670-6050 Fax: 818-587-2493 | |
Dr. Curtis Wayne-quon Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, La Palma, CA 90623 Phone: 888-988-2800 | |
Richard Mccauley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7901 Walker St, La Palma, CA 90623 Phone: 714-670-6050 Fax: 818-587-2493 |