# NAVAL MEDICAL CENTER SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** US NAVY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366677445
- **Authorized official:** MR. THOMAS BALCOM (SENIOR MEDICAL OFFICER)
- **Authorized official phone:** (619) 524-0113

## Contact information

- **Practice address:** 2051 CUSHING RD, SAN DIEGO, CA 92106-6173
- **Practice address phone:** (619) 524-0113
- **Practice address fax:** (619) 524-6318
- **Mailing address:** 2051 CUSHING RD, SAN DIEGO, CA 92106-6173
- **Mailing address phone:** (619) 524-0113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 1710I1002X | CA | Yes |

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 05/19/2009