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Organization

BRANCH MEDICAL CLINIC EASTLAKE

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
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization

Contact information

Practice address
2300 BOSWELL RD, SUITE 190, CHULA VISTA, CA 91914-3523
(619) 744-5355
Mailing address
2300 BOSWELL RD, SUITE 190, CHULA VISTA, CA 91914-3523
(619) 744-5355

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
10/07/2014
Last updated
11/24/2017
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