Individual provider · Type 1 NPI

Cameron Widhalm

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1457048381 Active

Practice location

1050 Linden Ave
Long Beach, CA 90813-3321

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Other practice locations

  • 309 E 2nd St, Pomona, CA 91766-1854 · (909) 623-6116

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X3634 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457048381

Cameron Widhalm's National Provider Identifier is 1457048381, issued on Apr 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 30, 2024.