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Organization
CALIFORNIA VEIN VASCULAR AND DIAGNOSTICS, INC.
Active
Organization
CALIFORNIA VEIN VASCULAR AND DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN NATHANIEL KENDRICK MD (PHYSICIAN)
(626) 623-6040
Entity
Organization
Contact information
Practice address
3200 INLAND EMPIRE BLVD STE 275, ONTARIO, CA 91764-5582
(626) 623-6040
(909) 366-5940
Mailing address
3200 INLAND EMPIRE BLVD STE 275, ONTARIO, CA 91764-5582
(626) 623-6040
(909) 366-5940
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C56176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265730618
INDIVIDUAL NPI
CA
Enumeration date
09/04/2014
Last updated
01/29/2026
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