Raj U Dugel (NPI# 1013968312, PAC ID# 7517904071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1013968312 |
| PAC ID by PECOS | 7517904071 |
| Professional Enrollment ID | I20111209000460 |
| Full Name | Raj U Dugel |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
4825 Torrance Blvd Suite 100 Torrance CA 90503-4167 |
| Phone Number | 3109376585 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1981 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialties | OPTOMETRY |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 | 3108356627 | PROVIDENCE MEDICAL INSTITUTE |
| 4101 Torrance Blvd, Torrance, CA 90503-4607 | 3103037496 | PROVIDENCE MEDICAL INSTITUTE |
| 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 | 3109376585 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Jin-hwa Simon | Hospitalist | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Street Address |
4825 TORRANCE BLVD SUITE 100 |
| City | TORRANCE |
| State | CA |
| Zip | 90503-4167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared G Baker | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Jorge T Vournas | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Leonardo N Rodriguez | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Stefanie W Uechi | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Mona Marcella Colianno | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| John G Wallace Jr. | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Amber L Leonard | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Eugene B Baldridge | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Brianne A Shoji | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Evelyn G Lee | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Find all physicians in zip 90503 | |||
| City | TORRANCE |
| Zip Code | 90503 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TORRANCE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Raj U Dugel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.