# DOUGLAS R. GADOWSKI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194978338
- **Authorized official:** DR. DOUGLAS RAYMOND GADOWSKI MD (PRESIDENT)
- **Authorized official phone:** (661) 255-2410

## Contact information

- **Practice address:** 25775 MCBEAN PKWY, SUITE 105, VALENCIA, CA 91355-3702
- **Practice address phone:** (661) 255-2410
- **Practice address fax:** (661) 255-8671
- **Mailing address:** 25775 MCBEAN PKWY, SUITE 105, VALENCIA, CA 91355-3702
- **Mailing address phone:** (661) 255-2410
- **Mailing address fax:** (661) 255-8671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A22057 | CA | Yes |

## Other

- **Enumeration date:** 10/31/2008
- **Last updated:** 08/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A220570 | — | CA |
