Organization · Type 2 NPI

Isc San Pedro Blasser Clinic

Military/U.S. Coast Guard Outpatient Clinic/Center · San Pedro, CA

NPI number 1821130113 Active

Practice location

1001 S Seaside Ave
San Pedro, CA 90731-7333

Fax (310) 732-7519

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone 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…

15 other providers at this address

About NPI 1821130113

Isc San Pedro Blasser Clinic's National Provider Identifier is 1821130113, issued on Feb 13, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in San Pedro, CA. The record was last updated on Aug 22, 2020.