# NAVAL MEDICAL CENTER SAN DIEGO

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

## Provider details

- **NPI number:** 1588728497
- **Authorized official:** LISA LYONS ARNOLD PNP (PEDIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (619) 532-8236

## Contact information

- **Practice address:** NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR., SAN DIEGO, CA 92134-5000
- **Practice address phone:** (619) 532-8236
- **Mailing address:** 10189 PINECASTLE ST, SAN DIEGO, CA 92131-2291
- **Mailing address phone:** (858) 578-5667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | RN093310 | MO | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/13/2008