# NAVAL MEDICAL CENTER SAN DIEGO

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

## Provider details

- **NPI number:** 1780938209
- **Authorized official:** JERRY MONCADA JUAN (INDEPENDENT DUTY CORPSMAN)
- **Authorized official phone:** (760) 468-6860

## Contact information

- **Practice address:** 35000 GUADALCANAL AVE, BLDG 596, SAN DIEGO, CA 92140
- **Practice address phone:** (619) 524-5196
- **Mailing address:** 605 D STREET, NATIONAL CITY, CA 91950
- **Mailing address phone:** (760) 468-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012