# US NAVY

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

## Provider details

- **NPI number:** 1174595979
- **Authorized official:** DR. MICHAEL R ANCONA JR. DO (ANESTHESIOLOGIST)
- **Authorized official phone:** (619) 532-8949

## Contact information

- **Practice address:** 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
- **Practice address phone:** (619) 532-6400
- **Mailing address:** 200 HORIZON HILLS DR, EL CAJON, CA 92020-8125
- **Mailing address phone:** (619) 334-6043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 20A8060 | CA | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 06/25/2008