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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE VANDAM M.D.

Active Organization

Internal Medicine · SAN CLEMENTE, CA

Registration Details

NPI Number
1699978304
Provider Type
Organization
NPI Issued
Jun 8, 2007 (18.900444272254 yrs)
Last Updated
Jul 28, 2010
License
A24788 (CA)

Practice Information

Address
665 CAMINO DE LOS MARES
STE 210
SAN CLEMENTE, CA, 926732859
Browse CA providers · Browse ZIP 92673
Phone
9492406772
Fax
9492406841
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in SAN CLEMENTE, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.