Organization
BRANCH MEDICAL CLINIC NALF SAN CLEMENTE ISLAND
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
WILSON COVE, BLDG 60126, SAN CLEMENTE, CA 92135
(619) 524-9356
Mailing address
WILSON COVE, BLDG 60126, SAN CLEMENTE, CA 92135
(619) 524-9356
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
11/24/2017
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