Individual provider · Type 1 NPI
Vincent Hurtado, IDC
Military Health Care Provider · Camp Pendleton, CA
NPI number
1275910556
Active
Practice location
1st Lar Bas, Box 5555642
Camp Pendleton, CA 92054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1275910556
Vincent Hurtado, IDC's National Provider Identifier is 1275910556, issued on May 6, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Camp Pendleton, CA. The record was last updated on May 6, 2015.