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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