Individual
JOE MAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 WESTERN AVE STE 204, SAN BERNARDINO, CA 92411
(909) 474-9952
(909) 474-9951
Mailing address
1800 WESTERN AVE STE 204, SAN BERNARDINO, CA 92411-1353
(909) 474-9952
(909) 474-9951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A109432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1094320
—
CA
Enumeration date
09/24/2009
Last updated
09/10/2018
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