Organization
BRANCH MEDICAL CLINIC CAMP PENDLETON
Active
Parent organization
NAVAL HOSPITAL CAMP PENDELTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDELTON
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
BLDG 13129 14TH STREET, CAMP PENDLETON, CA 92055-5191
(760) 725-1621
(760) 725-1661
Mailing address
PO BOX 555191, FIN MGMT CODE 0814, CAMP PENDLETON, CA 92055-5191
(760) 725-1621
(760) 725-1661
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386604387
PARENT FACILITY NPI
CA
Enumeration date
06/07/2007
Last updated
10/16/2017
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