Individual
MR. DAVID WRIGHT KOWALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
41715 WINCHESTER RD, SUITE 101, TEMECULA, CA 92590-4808
(951) 308-4451
Mailing address
393 E WALNUT ST PHR GROUP UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20053
CA
Other
Enumeration date
12/09/2008
Last updated
12/08/2021
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