Organization · Type 2 NPI

Branch Medical Clinic Naval Station San Diego

Military/U.S. Coast Guard Outpatient Clinic/Center · San Diego, CA

NPI number 1003006628 Active

Practice location

2450 Craven Steet
San Diego, CA 92136-5599

Fax (619) 556-9419

Mailing address

2450 Craven St
San Diego, CA 92136-5599

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1003006628

Branch Medical Clinic Naval Station San Diego's National Provider Identifier is 1003006628, issued on Jul 30, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in San Diego, CA. The record was last updated on Apr 4, 2019.