Individual provider · Type 1 NPI

Jason Lee Galleguillos, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1134473820 Active

Practice location

2917 C St, Unit 187
San Diego, CA 92102-2296

Call (760) 208-8939 Map

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1134473820

Jason Lee Galleguillos, IDC's National Provider Identifier is 1134473820, issued on Nov 1, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Nov 3, 2012.