# UNITED STATES NAVY

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

## Provider details

- **NPI number:** 1154569572
- **Authorized official:** MR. JUSTIN PAUL VECERE SR. (SURFACE FORCE INDEPENDENT DUTY CORP)
- **Authorized official phone:** (559) 707-0406

## Contact information

- **Practice address:** 7032 STAR DUNE AVE, TWENTYNINE PALMS, CA 92277-3090
- **Practice address phone:** (559) 707-0406
- **Mailing address:** 7032 STAR DUNE AVE, TWENTYNINE PALMS, CA 92277
- **Mailing address phone:** (559) 707-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 8425 | CA | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 01/22/2009