Organization
61ST MED SQ-LOS ANGELES
Active
Parent organization
61ST MED SQ-LOS ANGELES
Other names
DoD LOS ANGELES ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
61ST MED SQ-LOS ANGELES
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245-2808
(310) 653-6841
(310) 653-6658
Mailing address
61ST. MEDICAL SQUADRON SGSR C/O RMO OFFICE, 483 N. AVIATION BLVD. BLDG. 210, EL SEGUNDO, CA 90245
(310) 653-6841
(310) 653-6658
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147045
PK
—
Enumeration date
07/28/2014
Last updated
06/12/2025
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