Individual
DR. CONRAD GOROSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18800 AMAR RD, B-9, WALNUT, CA 91789-4166
(626) 839-4696
(626) 965-8606
Mailing address
18800 AMAR RD, B-9, WALNUT, CA 91789-4166
(626) 839-4696
(626) 965-8606
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
G39505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G39505
MEDICAL LICENSE
CA
Enumeration date
03/05/2008
Last updated
03/05/2008
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