| Krista Marie Douglass, | |
| 
					1000 W Carson St, Torrance, CA 90502-2004  | |
| (424) 306-4061 | |
| Not Available | 
| Full Name | Krista Marie Douglass | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 
| Location | 1000 W Carson St, Torrance, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881199776 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | A164649 (California) | Primary | 
| Entity Name | County Of Los Angeles | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Krista Marie Douglass, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-4061  | Krista Marie Douglass, 1000 W Carson St, Torrance, CA 90502-2004 Ph: (424) 306-4061  | 
Dr. Evelyn Denebeim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20911 Earl St Ste 440, Torrance, CA 90503 Phone: 310-419-8585  | |
Kay E Elledge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3701 Skypark Dr, Suite 150, Torrance, CA 90505 Phone: 310-378-8450  | |
Dr. Tajnoos Yazdany, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3868  | |
Megha Rajesh Patel, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4201 Torrance Blvd Ste 600, Torrance, CA 90503 Phone: 310-316-4317  | |
Deepjot K Singh, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Lomita Blvd, Suite #500, Torrance, CA 90505 Phone: 310-373-7900 Fax: 310-373-7940  | |
Dr. Revana Lukman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4201 Torrance Blvd Ste 600, Torrance, CA 90503 Phone: 310-316-4373 Fax: 310-316-1291  | |
Anne Marie Moylan, RN    NP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3400 Lomita Blvd #602, Torrance, CA 90505 Phone: 310-326-5150 Fax: 310-326-0762  |