Organization
JOHN O DIMOWO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ORUYOPITA DIMOWO M.D (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
1111 W LA PALMA AVE, ANAHEIM, CA 92801-2804
(714) 774-1450
(714) 999-3907
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A525010
BLUE SHIELD
CA
05
—
00A525010
—
CA
Enumeration date
08/03/2006
Last updated
03/06/2008
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