Individual provider · Type 1 NPI

Andrew Isais, DEEP SEA DIVE IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1437760105 Active

Practice location

34800 Bob Wilson Dr Naval Medical Center San Diego
San Diego, CA 92134-0001

Call (619) 532-6400 Map

Mailing address

6207 Paseo Encantada
Camarillo, CA 93012-9421

Specialties and licenses

Taxonomy	Code	License
Independent Duty Corpsman Primary	1710I1002X	None 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 1437760105

Andrew Isais, DEEP SEA DIVE IDC's National Provider Identifier is 1437760105, issued on Aug 14, 2020. 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 Aug 14, 2020.