Organization
BRANCH MEDICAL CLINIC CORONADO
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
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
601 MCCAIN BLVD, NAVAL BASE CORONADO, SAN DIEGO, CA 92135-7046
(619) 545-7245
Mailing address
NAVAL BASE CORONADO BLD 601 MCCAIN BLVD, BRANCH MEDICAL CLINIC, SAN DIEGO, CA 92135
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
04/04/2019
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