Organization
BRANCH MEDICAL CLINIC MCAS MIRAMAR
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 (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
BAUER RD, BLDG 2496, SAN DIEGO, CA 92145-0001
(858) 577-4656
Mailing address
BAUER RD, BLDG 2496, SAN DIEGO, CA 92145-0001
(858) 577-4656
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
11/24/2017
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