Organization
WEED ARMY COMMUNITY HOSPITAL
Active
Other names
MEDDAC Fort Irwin, CA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA REGINA DAVIS RN (HEAD NURSE)
(760) 380-5183
Entity
Organization
Contact information
Practice address
BUILDING 170, FORT IRWIN, CA 92310
(760) 380-5183
Mailing address
15752 SCOTT DR, FONTANA, CA 92336-5046
(951) 235-6329
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
481436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
481436
REGISTERED NURSE
CA
Enumeration date
05/05/2006
Last updated
08/22/2020
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