# NAVAL MEDICAL CENTER SAN DIEGO

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

## Provider details

- **NPI number:** 1437213717
- **Authorized official:** MARY PATRICIA WHITE CPNP (PEDIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (619) 532-6886

## Contact information

- **Practice address:** 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
- **Practice address phone:** (619) 532-6886
- **Mailing address:** 2148 ESTELA DR, EL CAJON, CA 92020-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | L1-0029636 | DE | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 08/13/2008