# USCG

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

## Provider details

- **NPI number:** 1326100827
- **Authorized official:** BROOKE ASHLEY YOUNG LAB TECH (HEALTH SERVICE TECH)
- **Authorized official phone:** (510) 437-3582

## Contact information

- **Practice address:** 1 EAGLE RD, ALAMEDA, CA 94501-5100
- **Practice address phone:** (510) 407-7797
- **Mailing address:** 1 EAGLE RD, ALAMEDA, CA 94501-5100
- **Mailing address phone:** (510) 437-3582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020