Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A22057 | CA |
NPI | 1013911460 |
---|---|
Provider Name | Dr. Douglas R Gadowski |
First Address | Valencia, CA 91355-3702 |
Second Address | Valencia, CA 91355-3702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 31/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A82553 | (02) | CA |