Cameron Widhalm, is a
Student In An Organized Health Care Education/training Program physician based in Long Beach, California. Cameron Widhalm is licensed to practice in * (Not Available) (license number ) and his current practice location is 1050 Linden Ave, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(562) 491-9000.
NPI number for Cameron Widhalm is 1457048381 and his current mailing address is 309 E 2nd St, Pomona, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457048381.
Physician's Profile
| Full Name | Cameron Widhalm |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1050 Linden Ave, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457048381
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Cameron Widhalm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457048381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 3634 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cameron Widhalm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cameron Widhalm,
309 E 2nd St,
Pomona, CA 91766-1854
Ph: () - | Cameron Widhalm,
1050 Linden Ave,
Long Beach, CA 90813-3321
Ph: (562) 491-9000 |
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