NPI 1003968942
Uscg Isc San Pedro Clinic
Practice location
- Address
- 2100 2nd St SW Suite 5314, Washington, DC 20593-0002
- Phone
- (202) 267-0801
Authorised official
- Name
- David Romero
- Title
- Clinic Administrator
- Phone
- (310) 732-7500
Registered specialties
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
Registry record
- NPI
- 1003968942
- Entity type
- Organization
- NPI issued
- 18 Jan 2007
- Record last updated
- 22 Aug 2020
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.