# US NAVY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Naval Health Clinic Balboa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801333992
- **Authorized official:** MS. MIRA LEE (RDH)
- **Authorized official phone:** (224) 381-8749

## Contact information

- **Practice address:** 1752 TRELLIS WAY, CHULA VISTA, CA 91915
- **Practice address phone:** (224) 381-8749
- **Mailing address:** 1752 TRELLIS WAY, CHULA VISTA, CA 91915
- **Mailing address phone:** (224) 381-8749

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 01/26/2017
