Individual provider · Type 1 NPI

Mitchel Grande Deguzman, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1487928057 Active

Practice location

34101 Farenholt Ave, Building 14
San Diego, CA 92134-5291

Call (619) 252-8557 Map

Mailing address

PO Box 555381
Camp Pendleton, CA 92055-5381

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 1487928057

Mitchel Grande Deguzman, IDC's National Provider Identifier is 1487928057, issued on Feb 29, 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 Feb 29, 2012.