Individual
EVON ST. CLAVER CADOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
(626) 397-2912
Mailing address
790 E COLORADO BLVD, 900, PASADENA, CA 91101-2113
(626) 240-0662
(626) 240-0663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G58167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G581670
BLUE SHIELD
CA
05
—
00G581670
—
CA
Enumeration date
07/23/2006
Last updated
12/27/2021
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