Organization
CLAREMONT EYE ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J MCDERMOTT III MD (GENERAL PARTNER)
(909) 624-8077
Entity
Organization
Contact information
Practice address
655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
(909) 624-8077
(909) 624-1467
Mailing address
655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
(909) 624-8077
(909) 624-1467
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1438533
—
CA
05
—
4172332
—
CA
Enumeration date
05/19/2008
Last updated
05/19/2008
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