Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas A Blose, MD

Individual provider Dermatology Physician · NPI 1306816657

Dr. Douglas A Blose, MD is a Dermatology Physician in Downey, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11525 Brookshire Ave
Downey, CA 90241-4985
Phone: (562) 923-6450
Fax: (562) 923-0049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G50355 (CA)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence G50355 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence G50355 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence G50355 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence G50355 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence G50355 (CA)

Record details

NPI number1306816657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESNovember 16, 2007

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