Provider Demographics
NPI:1821190356
Name:DOWNS, DENNIS RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RAY
Last Name:DOWNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2013-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA84926Medicare UPIN