# NAVAL MEDICAL CENTER SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083750087
- **Authorized official:** DR. NIMFA COCOS TENEZA-MORA M.D. (INFECTIOUS DISEASE PHYSICIAN)
- **Authorized official phone:** (619) 532-7475

## Contact information

- **Practice address:** 34800 BOB WILSON DR, BUILDING 1, 2 - WEST, INFECTIOUS DISEASES CLINIC, SAN DIEGO, CA 92134-1098
- **Practice address phone:** (619) 532-7475
- **Mailing address:** 34800 BOB WILSON DR, BUILDING 1, 2 - WEST, INFECTIOUS DISEASES CLINIC, SAN DIEGO, CA 92134-1098
- **Mailing address phone:** (619) 532-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 0101058098 | VA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/13/2008