Organization · Type 2 NPI

Tricare Outpatient Clinic Clairemont

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

NPI number 1922206853 Active

Practice location

8808 Balboa Ave
San Diego, CA 92123-1592

Fax (619) 645-0193

Mailing address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

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 1922206853

Tricare Outpatient Clinic Clairemont's National Provider Identifier is 1922206853, issued on Jul 3, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in San Diego, CA. The record was last updated on Apr 4, 2019.