Provider Demographics
NPI:1952644122
Name:MCDONALD, PHILIP JAMES (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:JAMES
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:375 ROLLING OAKS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1028
Mailing Address - Country:US
Mailing Address - Phone:805-495-1073
Mailing Address - Fax:805-495-5836
Practice Address - Street 1:375 ROLLING OAKS DR STE 210
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1028
Practice Address - Country:US
Practice Address - Phone:805-495-1073
Practice Address - Fax:805-495-5836
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC203711207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease