Individual
WAMDA GOREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3221
(310) 698-7040
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3221
(310) 698-7040
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
14753
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
307880
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6945
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A118823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811156763
—
CA
Enumeration date
06/05/2008
Last updated
05/11/2022
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