PAUL J DOUGHERTY MD INC
Medical Practice at Park Terrace Dr, Thousand Oaks, CA

License number
California G70688
Category
Medical Practice
Type
Ophthalmology
Owner
Name: ALEXIS JACOBE
Title: ADMINISTRATOR
Phone: (805) 987-5300
Address
Address
4353 Park Terrace Dr STE 150, Thousand Oaks, CA 91361
National Provider ID: 1649203639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAUL J. DOUGHERTY, M.D., INC

Thousand Oaks, CA  -  Camarillo, CA

Industry:
Medical Doctor's Office
Doing business as:
Dougherty Laser Vision
Registration:
Dec 31, 1996
Phone:
(805) 987-5300 (Phone), (805) 383-2800 (Phone)
Addresses:
4353 Park Ter Dr SUITE 150, Westlake Village, CA 91361 (Physical)
1821 E Daily Dr, Camarillo, CA 93010
State ID:
C1796162
Business type:
Articles of Incorporation
President:
Paul J. Dougherty (President)
Agent:
Paul Joseph Dougherty,Westlake Village, CA 91361 (Physical)
Categories:
Laser Vision Correction

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