Organization
WILSHIREMED CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD J O'DOWD M.D. (PRESIDENT)
90981027374
Entity
Organization
Contact information
Practice address
2131 ELKS DR, STE 200, SAN BERNARDINO, CA 92404-5544
(909) 801-7374
(909) 495-1647
Mailing address
3881 W 6TH ST, STE 127, LOS ANGELES, CA 90020-3937
(909) 801-7374
(909) 495-1647
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C42850
CA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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