# BRANCH MEDICAL CLINIC MCRD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL MEDICAL CENTER SAN DIEGO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649446857
- **Legal business name:** NAVAL MEDICAL CENTER SAN DIEGO
- **Authorized official:** MR. WILLIAM M CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD, SAN DIEGO, CA 92140
- **Practice address phone:** (619) 524-4102
- **Mailing address:** 35000 GUADALCANAL ST, BMC MCRD, SAN DIEGO, CA 92145
- **Mailing address phone:** (619) 524-4045

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 04/04/2019