# USS PASADENA(SSN752)

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

## Provider details

- **NPI number:** 1154641371
- **Authorized official:** PETER ELL KHAN (INDEPENDENT DUTY CORPSMAN)
- **Authorized official phone:** (858) 382-1143

## Contact information

- **Practice address:** 888 MURRAY DR, HONOLULU, HI 96818-3721
- **Practice address phone:** (858) 382-1143
- **Mailing address:** 888 MURRAY DR, HONOLULU, HI 96818
- **Mailing address phone:** (858) 382-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1710I1002X | Independent Duty Corpsman | — | NULL | Yes |
| 1710I1002X | Independent Duty Corpsman | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 06/10/2010