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

Dessire Douglas

Individual provider Rehabilitation Practitioner · NPI 1497906036

Dessire Douglas is a Rehabilitation Practitioner in San Pedro, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

222 W 6th St
San Pedro, CA 90731
Phone: (310) 833-3135
Fax: (310) 707-2877
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1497906036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2008
Last updated in NPPESSeptember 4, 2018
Mailing address855 N Orange Grove Blvd, Pasadena, CA 91103-3333

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