Provider Demographics
NPI:1245263789
Name:CARDON, LAMONT JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:LAMONT
Middle Name:JOEL
Last Name:CARDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3000 COLBY ST STE 304
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2058
Mailing Address - Country:US
Mailing Address - Phone:510-540-6800
Mailing Address - Fax:510-540-6805
Practice Address - Street 1:3000 COLBY ST STE 304
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2058
Practice Address - Country:US
Practice Address - Phone:510-540-6800
Practice Address - Fax:510-540-6805
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG85488207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH09145Medicare UPIN