Individual
DAVID S. CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE 3150, LOMA LINDA, CA 92354-3450
(909) 558-2191
Mailing address
56994 FILE NUMBER, LOS ANGELES, CA 90074-6994
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A65965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A659650
—
CA
Enumeration date
08/16/2006
Last updated
12/02/2021
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