Organization
EXCELLENT ANESTHESIA PC
Active
Organization
EXCELLENT ANESTHESIA PC
Active
Other names
Excellent Anesthesia PC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O DIMOWO M.D. (PRESIDENT)
(951) 966-6626
Entity
Organization
Contact information
Practice address
1260 PIERRE RD, WALNUT, CA 91789-1934
(951) 966-6626
(909) 594-6607
Mailing address
1260 PIERRE RD, WALNUT, CA 91789-1934
(951) 966-6626
(909) 594-6607
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A52501
CA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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