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Organization

CAMBRIDGE MEDICAL CLINIC OF CALIFORNIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JON P HENDRICKS (PRESIDENT)
(800) 333-1980
Entity
Organization

Contact information

Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8642
(800) 333-1980
(636) 326-9735
Mailing address
905 S HIGHWAY DR, STE 305, FENTON, MO 63026-2042
(800) 333-1980
(636) 326-9735

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
12/03/2008
Last updated
01/27/2009
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