Provider Demographics
NPI:1053019992
Name:DOAN AND CO MEDICAL LLC
Entity type:Organization
Organization Name:DOAN AND CO MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-867-3378
Mailing Address - Street 1:2929 S HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6428
Mailing Address - Country:US
Mailing Address - Phone:714-867-3378
Mailing Address - Fax:
Practice Address - Street 1:2929 S HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6428
Practice Address - Country:US
Practice Address - Phone:714-867-3378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty