# NAVAL MEDICAL CENTER SAN DIEGO

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

## Provider details

- **NPI number:** 1174560460
- **Authorized official:** STEPHANIE WILSON MD (PEDIATRIC RESIDENT)
- **Authorized official phone:** 18005328225

## Contact information

- **Practice address:** 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
- **Practice address phone:** (800) 532-8225
- **Mailing address:** 4519 50TH STREET, SAN DIEGO, CA 92115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 055716 | GA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 08/13/2008