THEODORE VANDAM M.D.

SAN CLEMENTE, CA
NPI1699978304
Entity TypeOrganization
Authorized ContactTHEODORE VANDAM
President
949-240-6772
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A24788)
Enumeration Date2007-06-08
Last Update Date2010-07-28
Business Address
THEODORE VANDAM M.D.
665 CAMINO DE LOS MARES STE 210
SAN CLEMENTE, CA 92673-2859
Phone number: 949-240-6772
Mailing Address
THEODORE VANDAM M.D.
665 CAMINO DE LOS MARES STE 210
SAN CLEMENTE, CA 92673-2859
Phone number: 949-240-6772
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