Individual provider · Type 1 NPI

Emerald Victoria Goranson, MD

Military Health Care Provider · San Diego, CA

NPI number 1861205445 Active

Practice location

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

Call (575) 518-8260 Map

Mailing address

San Diego 34800 Bob Wilson Dr
San Diego, CA 92134-5000

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1861205445

Emerald Victoria Goranson, MD's National Provider Identifier is 1861205445, issued on Jan 28, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Jan 28, 2025.