Individual provider · Type 1 NPI
Andrew V. Velikic, IDC
Military/U.S. Coast Guard Outpatient Clinic/Center · San Diego, CA
Practice location
3401 Farenholt Ave Bldg 14
San Diego, CA 92134-5291
Mailing address
PO Box 555657
Camp Pendleton, CA 92055-5657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None 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…
About NPI 1982324679
Andrew V. Velikic, IDC's National Provider Identifier is 1982324679, issued on Sep 1, 2022. 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 Mar 7, 2023.