# UNITED STATES SPACE FORCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LAAFB, GRT, Space Base Delta 3, Guardian Resilence Team, Los Angeles Air Force Base
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396616850
- **Authorized official:** COLIN LIM (NH-3)
- **Authorized official phone:** (310) 653-1110

## Contact information

- **Practice address:** 483 N AVIATION BLVD BLDG 286, EL SEGUNDO, CA 90245-2808
- **Practice address phone:** (310) 653-1110
- **Mailing address:** 483 N AVIATION BLVD BLDG 286, EL SEGUNDO, CA 90245-2808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | Yes |
| 171000000X | Military Health Care Provider | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2025
- **Last updated:** 09/23/2025