Individual provider · Type 1 NPI

Noem Clay Gallego

Military Health Care Provider · San Diego, CA

NPI number 1417328063 Active

Practice location

34101 Building 14, Farenholt Avenue
San Diego, CA 92134

Call (619) 532-9712 Map

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman 1710I1002XNone listed
Military Health Care Provider Primary 171000000XNone 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 1417328063

Noem Clay Gallego's National Provider Identifier is 1417328063, issued on Oct 8, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Sep 13, 2021.