Organization · Type 2 NPI

Uscg Isc San Pedro Clinic

Military/U.S. Coast Guard Outpatient Clinic/Center · Washington, DC

NPI number 1003968942 Active

Practice location

2100 2nd St SW, Suite 5314
Washington, DC 20593-0002

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 1003968942

Uscg Isc San Pedro Clinic's National Provider Identifier is 1003968942, issued on Jan 18, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Washington, DC. The record was last updated on Aug 22, 2020.