Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Parent organization
US NAVY
Other names
US NAVY
Organization subpart
Yes
Provider details
NPI number
Legal business name
US NAVY
Authorized official
MR. RANDY N LIGHTCAP IDC (PROVIDER)
(619) 437-0777
Entity
Organization
Contact information
Practice address
2446 TRIDENT WAY, SAN DIEGO, CA 92155-5494
(619) 437-0777
(619) 437-5248
Mailing address
2446 TRIDENT WAY, SAN DIEGO, CA 92155-5494
(619) 437-0777
(619) 437-5248
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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