Organization · Type 2 NPI

Branch Medical Clinic Edson Range

Military/U.S. Coast Guard Outpatient Clinic/Center · Camp Pendleton, CA

NPI number 1912100983 Active

Practice location

Stuart Mesa Rd, Bldg 310514, Box 555191
Camp Pendleton, CA 92055-5191

Call (760) 725-1621 Map

Fax (760) 725-1661

Mailing address

PO Box 555191, Fin Mgmt Code 0814
Camp Pendleton, CA 92055-5191

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…

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About NPI 1912100983

Branch Medical Clinic Edson Range's National Provider Identifier is 1912100983, issued on Jun 7, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Camp Pendleton, CA. The record was last updated on Oct 16, 2017.