# U. S. NAVY

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

## Provider details

- **NPI number:** 1790056372
- **Authorized official:** NICHOLAS SARKODIE ACHEAMPONG IDC (INDEPENDENT DUTY CORPSMAN)
- **Authorized official phone:** (619) 537-1335

## Contact information

- **Practice address:** 3423 GUADALCANAL RD, BLDG 401 2ND DECK, SAN DIEGO, CA 92155-5000
- **Practice address phone:** (619) 537-1304
- **Mailing address:** 3423 GUADALCANAL RD, BLDG 401 2ND DECK, SAN DIEGO, CA 92155-5000
- **Mailing address phone:** (619) 537-1304

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012