| John J. Doherty, M.D., Ph.d., Inc. | |
|
21350 Hawthorne Blvd Suite 258 Torrance CA 90503-5605 | |
| (310) 540-5566 | |
| (310) 540-8577 |
| Full Name | John J. Doherty, M.D., Ph.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21350 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | John J. Doherty (PRESIDENT / CEO) |
| Authorized Official Contact | 3105405566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J. Doherty, M.D., Ph.d., Inc. 21350 Hawthorne Blvd Suite 258 Torrance CA 90503-5605 Ph: (310) 540-5566 | John J. Doherty, M.D., Ph.d., Inc. 21350 Hawthorne Blvd Suite 258 Torrance CA 90503-5605 Ph: (310) 540-5566 |
| NPI Number | 1942521208 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942521208 | NPI | - | NPPES |
| 5897216 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A22240 (California) | Primary |
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