Organization
SHARP CORONADO - NAVY RESOURCE SHARING
Active
Parent organization
NAVAL MEDICAL CENTER SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Authorized official
WILLIAM M CONDON (UBO MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
250 PROSPECT PL, CORONADO, CA 92118-1943
(619) 522-3600
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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