NPI 1003226309

United States Navy

Organisation Military Hospital San Diego, CA

Practice location

Address: Surface Warfare Medical Institute 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291
Phone: (619) 532-7968

Authorised official

Name: Randy Shanard Cunningham
Title: Independent Duty Corpsman
Phone: (205) 936-6013

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence H01236278 (HI)

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Registry record

NPI: 1003226309
Entity type: Organization
NPI issued: 7 May 2014
Record last updated: 7 May 2014

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.