Individual provider · Type 1 NPI

David Keiki Mai Lani Louis Haley Sr., IDC

Independent Duty Corpsman · Seal Beach, CA

NPI number 1912966474 Active

Practice location

800 Seal Beach Blvd, Bldg 77
Seal Beach, CA 90740-5607

Fax (562) 626-6290

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 1912966474

David Keiki Mai Lani Louis Haley Sr., IDC's National Provider Identifier is 1912966474, issued on Mar 22, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Seal Beach, CA. The record was last updated on Sep 29, 2026.