Individual provider · Type 1 NPI

Fernando Palencia Jr., IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1629158449 Active

Practice location

3455 Sturtevant St, Suite 1
San Diego, CA 92136-5069

Call (619) 556-6671 Map

Fax (619) 556-0888

Mailing address

1433 Normandy Dr
Chula Vista, CA 91913-3904

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…

2 other providers at this address

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About NPI 1629158449

Fernando Palencia Jr., IDC's National Provider Identifier is 1629158449, issued on Oct 16, 2006. 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 Jul 8, 2007.