Provider Demographics
NPI:1700996105
Name:SADOWINSKI, WALDEMAR WLADIMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:WALDEMAR
Middle Name:WLADIMIR
Last Name:SADOWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12541 E LAMBERT ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2711
Mailing Address - Country:US
Mailing Address - Phone:562-698-2216
Mailing Address - Fax:562-693-7557
Practice Address - Street 1:12541 E LAMBERT ROAD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2711
Practice Address - Country:US
Practice Address - Phone:562-698-2216
Practice Address - Fax:562-693-7557
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25180207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
A24316Medicare UPIN
CAA25180Medicare ID - Type Unspecified