# BRANCH MEDICAL CLINIC NTC SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL MEDICAL CENTER SAN DIEGO
- **Other names:** Naval Branch Health Clinic NTC, San Diego
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730386327
- **Legal business name:** NAVAL MEDICAL CENTER SAN DIEGO
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 2051 CUSHING ROAD, BLDG 624, SAN DIEGO, CA 92106-0000
- **Practice address phone:** (619) 524-0173
- **Practice address fax:** (619) 524-0118
- **Mailing address:** 2051 CUSHING ROAD, BLDG 624, SAN DIEGO, CA 92106-0000
- **Mailing address phone:** (619) 524-0173
- **Mailing address fax:** (619) 524-0118

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 04/04/2019