NPI 1003006628

Branch Medical Clinic Naval Station San Diego

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

Practice location

Address: 2450 Craven Steet, San Diego, CA 92136-5599
Phone: (619) 556-6302
Fax: (619) 556-9419
Mailing address: 2450 Craven St, San Diego, CA 92136-5599

Authorised official

Name: William Michael Condon
Title: Navy Medicine Ubo Program Manager
Phone: (240) 401-3643

Registered specialties

Military/U.S. Coast Guard Outpatient Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1100X

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Registry record

NPI: 1003006628
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 4 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.