Organization
NMC SAN DIEGO
Active
Parent organization
NMC SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NMC SAN DIEGO
Authorized official
MARYANN MARQUEZ (UBO MANAGER)
(619) 532-5083
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6397
(619) 532-6645
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6397
(619) 532-6645
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DOD3000
BS PIN HCFA 1500
CA
01
—
05-20862
NCPDP
CA
05
—
HSP63228F
—
CA
05
—
ZZT23228F
—
CA
01
—
ZZZH3722Z
BS PIN UB92
CA
Enumeration date
09/30/2005
Last updated
05/30/2025
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