Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Vandam MD

Organization Internal Medicine Physician · NPI 1699978304

Theodore Vandam MD is an Internal Medicine Physician in San Clemente, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

665 Camino De Los Mares Ste 210
San Clemente, CA 92673-2859
Phone: (949) 240-6772
Fax: (949) 240-6841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A24788 (CA)

Record details

NPI number1699978304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Vandam — President · (949) 240-6772
NPI enumeratedJune 8, 2007
Last updated in NPPESJuly 28, 2010
Mailing address665 Camino De Los Mares, Ste 210, San Clemente, CA 92673-2859

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