# WILSHIREMED CENTER INC

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

## Provider details

- **NPI number:** 1659601920
- **Authorized official:** GERARD J O'DOWD M.D. (PRESIDENT)
- **Authorized official phone:** 90981027374

## Contact information

- **Practice address:** 2131 ELKS DR, STE 200, SAN BERNARDINO, CA 92404-5544
- **Practice address phone:** (909) 801-7374
- **Practice address fax:** (909) 495-1647
- **Mailing address:** 3881 W 6TH ST, STE 127, LOS ANGELES, CA 90020-3937
- **Mailing address phone:** (909) 801-7374
- **Mailing address fax:** (909) 495-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | C42850 | CA | Yes |

## Other

- **Enumeration date:** 01/07/2010
- **Last updated:** 01/07/2010