Organization
NAVAL EXPEDITIONARY MEDICAL TRAINING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BREZA NC (OFFICER IN CHARGE)
(760) 725-7121
Entity
Organization
Contact information
Practice address
632044 SAN MATEO RD, NOMI DET NEMTI BOX 555223, CAMP PENDLETON, CA 92055
(760) 725-7121
Mailing address
4918 SEASCAPE DR, OCEANSIDE, CA 92057-6253
(760) 725-7121
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLDG 632044
632044
CA
Enumeration date
03/08/2006
Last updated
07/21/2022
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