# BRANCH MEDICAL CLINIC CAMP PENDLETON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HOSPITAL CAMP PENDELTON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972706992
- **Legal business name:** NAVAL HOSPITAL CAMP PENDELTON
- **Authorized official:** WILLIAM M CONDON (BUMED UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** BLDG 13129 14TH STREET, CAMP PENDLETON, CA 92055-5191
- **Practice address phone:** (760) 725-1621
- **Practice address fax:** (760) 725-1661
- **Mailing address:** PO BOX 555191, FIN MGMT CODE 0814, CAMP PENDLETON, CA 92055-5191
- **Mailing address phone:** (760) 725-1621
- **Mailing address fax:** (760) 725-1661

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 10/16/2017