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Contact Information

JON M DANDREA, MD
2486 PONDEROSA DR. N.
#D-211
CAMARILLO, CA93010
 Phone: 805-484-2818
 Fax: 805-482-0028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JON M DANDREA · (Male)

NPI # 1558360834
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # GG1484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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