Individual
DR. PATRICK O'CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 WILCOX RD, SUITE 105, STONINGTON, CT 06378-2614
(650) 380-4395
Mailing address
300 S HARBOR BLVD, SUITE 600, ANAHEIM, CA 92805-3733
(714) 978-7488
(860) 516-2883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C53489
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
C53489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060646704
TRI-CARE
—
Enumeration date
10/12/2006
Last updated
09/09/2013
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