J. ROBERT WEST, M.D., INC
Osteopathic Medicine at Jeffrey Rd, Irvine, CA

License number
California G4302
Category
Osteopathic Medicine
Type
Dermatopathology
Owner
Name: JOHN R. WEST M.D.
Title: PRESIDENT
Phone: (909) 335-8649
Address
Address 2
14785 Jeffrey Rd SUITE 201, Irvine, CA 92618
101 E Redlands Blvd, Redlands, CA 92373
National Provider ID: 1295917904
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J. ROBERT WEST, M.D., INC

Wheeling, WV  -  Redlands, CA  -  Mesa, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 28, 2009
Inactive since:
Apr 28, 2014
Phone:
(949) 888-5448 (Phone)
Addresses:
1038 Market St, Wheeling, WV 26003 (Physical)
101 E Redlands Blvd SUITE 275, Redlands, CA 92373 (Mailing)
Connie R Basinger, Redlands, CA 92373 (Physical)
2338 W Royal Palm Rd STE J, Mesa, AZ 85201 (Foreign)
State ID:
F-1542747-2
Business type:
Corporation
Expiration:
Perpetual
President, President, Secretary, Treasurer, Directors:
Lucius Blanchard, M.d (President), 101 E Redlands Blvd SUITE 275, Redlands, CA 92373,Lucius Blanchard Md (President/ceo), 101 E Redlands Blvd #275, Redlands, CA 92373 (Physical),Lucius Blanchard (President, President, Secretary, Treasurer, Director)
Agent:
Corporation Service Company,2338 W Royal Palm Rd STE J, Mesa, AZ 85201 (Physical)

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