Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE RICHARD VAN DAM, M.D.
Active Sole ProprietorDR. THEODORE RICHARD VAN DAM, M.D. is a Internal Medicine healthcare provider located in SAN CLEMENTE, California. NPI 1871527226 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SAN CLEMENTE, CA
Registration Details
- NPI Number
- 1871527226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.914398723235 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A24788 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
665 CAMINO DE LOS MARES210SAN CLEMENTE, CA, 92673Browse CA providers · Browse ZIP 92673
- Phone
- 9492406772
- Fax
- 9492406841
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SAN CLEMENTE, CA
| Name | Credential | NPI |
|---|---|---|
| YELENA WOOD | M.D. | 1821091174 |
| DR. RONALD STANLEY SALTZMAN | MD | 1427058395 |
| KENNETH LLOYD REXINGER | M.D. | 1003809963 |
| LAWRENCE CHUNG-LUN CHANG | M.D. | 1528046430 |
| DR. CARY C STEWART | M.D. | 1184690901 |
| JAMES SPERBER | M.D. | 1518922236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.