Individual
SHAWN MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(323) 409-5108
Mailing address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(323) 409-5108
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
RN 483073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942362983
—
CA
Enumeration date
03/13/2017
Last updated
03/13/2017
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