Organization · Type 2 NPI

30th Medgrp-Vandenberg

Military/U.S. Coast Guard Outpatient Clinic/Center · Vandenberg Afb, CA

NPI number 1477536126 Active

Practice location

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307

Call (805) 606-3012 Map

Fax (805) 606-4474

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101XNone listed
Military/U.S. Coast Guard Pharmacy 332000000XNone 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…

55 other providers at this address

About NPI 1477536126

30th Medgrp-Vandenberg's National Provider Identifier is 1477536126, issued on Nov 28, 2005. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Jun 12, 2025.