Theodore Richard Van Dam in San Clemente - Internal Medicine
Theodore Richard Van Dam - NPI 1871527226
Theodore Richard Van Dam is a Internal Medicine in San Clemente, California. Theodore Richard Van Dam practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theodore Richard Van Dam is 1871527226. The last update date is 2007-07-08.
Theodore Richard Van Dam's current location address is 665 Camino De Los Mares, San Clemente, California. You can contact this provider via phone number 9492406772 and fax number 9492406841. The mailing address for Theodore Richard Van Dam is 665 Camino De Los Mares, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Richard Van Dam |
|---|---|
| Address | 665 Camino De Los Mares, San Clemente, California |
| Phone Number | 9492406772 |
| Fax Number | 9492406841 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871527226 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 665 Camino De Los Mares |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 92673 |
| Phone Number | 9492406772 |
| Fax Number | 9492406841 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A24788 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the Theodore Richard Van Dam's 1871527226?
The Theodore Richard Van Dam's NPI (National Provider Identifier) Number is 1871527226. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore Richard Van Dam located?
The Theodore Richard Van Dam is located at 665 Camino De Los Mares, San Clemente, CA 92673.
What is Theodore Richard Van Dam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore Richard Van Dam's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When was the Theodore Richard Van Dam's 1871527226 issued?
The Theodore Richard Van Dam's 1871527226 was issued on 2006-07-10.
As of what date were the details related to Theodore Richard Van Dam most recently updated or revised?
The information pertaining to Theodore Richard Van Dam, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.