# NAVAL MEDICAL CENTER SAN DIEGO

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

## Provider details

- **NPI number:** 1902153828
- **Authorized official:** DR. ERIN SHARI BAILEY D.D.S (GENERAL PRACTICE RESIDENT)
- **Authorized official phone:** (630) 300-4567

## Contact information

- **Practice address:** 2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVI, JACKSONVILLE, FL 32212-0140
- **Practice address phone:** (619) 794-4459
- **Mailing address:** 7860 WESTSIDE DRIVE \#308, SAN DIEGO, CA 92108
- **Mailing address phone:** (630) 300-4567

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 08/09/2012