Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA VALENTINE SPARKS (DEPARTMENT HEAD)
(619) 532-7150
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7355
Mailing address
4412 UPLAND ST, LA MESA, CA 91941-6517
(610) 469-7335
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LCS 17684
CA
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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