Organization
CAMBRIDGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY CASTANEDA (ADMINISTRATOR)
(562) 803-6116
Entity
Organization
Contact information
Practice address
10800 PARAMOUNT BLVD, SUITE 204A, DOWNEY, CA 90241-3331
(562) 803-6116
(562) 803-6308
Mailing address
8504 FIRESTONE BLVD, SUITE 399, DOWNEY, CA 90241-4926
(562) 803-6116
(562) 803-6308
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
208100000X
Physical Medicine & Rehabilitation Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613246200
US DEPARTMENT OF LABOR
—
01
—
AO203Y
MEDICARE PTAN
CA
01
—
AO203Z
MEDICARE PTAN
CA
01
—
D04603
MEDICARE RR
CA
Enumeration date
02/01/2008
Last updated
02/19/2016
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