Provider Demographics
NPI:1275940736
Name:DENNIS R. DOWNS M.D. INC.
Entity Type:Organization
Organization Name:DENNIS R. DOWNS M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-533-7021
Mailing Address - Street 1:200 N HARBOR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2510
Mailing Address - Country:US
Mailing Address - Phone:714-533-7021
Mailing Address - Fax:714-533-7102
Practice Address - Street 1:200 N HARBOR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2510
Practice Address - Country:US
Practice Address - Phone:714-533-7021
Practice Address - Fax:714-533-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36905261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care