Condon, David S.

Condon, David S. is an individual health care provider with primary practice located at 11370 Anderson St Ste 3150, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Condon, David S. can be contacted via phone (909) 558-2191.

Contact Information

Primary practice address
11370 Anderson St Ste 3150 Loma Linda CA 92354-3450
Phone: (909) 558-2191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A65965 California

Profile Details

NPI number 1790898799
LBN Legal business name Condon, David S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Dec 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790898799 NPPES
California MEDICAID 00A659650

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