Provider Demographics
NPI:1720556541
Name:ONDUO PROFESSIONALS OF CALIFORNIA PC
Entity Type:Organization
Organization Name:ONDUO PROFESSIONALS OF CALIFORNIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-352-2056
Mailing Address - Street 1:55 CHAPEL ST STE 10
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1095
Mailing Address - Country:US
Mailing Address - Phone:833-446-6386
Mailing Address - Fax:
Practice Address - Street 1:55 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1060
Practice Address - Country:US
Practice Address - Phone:833-446-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty