Branch Medical Clinic Area 43
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Camp Pendleton, CA
NPI 1245624907 · NPPES record last updated May 25, 2018
Key facts
- NPI
- 1245624907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- BRANCH MEDICAL CLINIC AREA 43
- Practice address
- 43 Area Branch Medical Clinic
BLDG 434057
Camp Pendleton, CA 92055 - Phone
- (760) 719-3268
- NPI assigned
- Mar 20, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- NAVAL HOSPITAL CAMP PENDLETON
Authorized official
- Name
- William M Condon
- Title
- Bumed Ubo
- Phone
- (240) 401-3643
Corporate family (same tax ID) 42
National Provider Directory
- Tax ID family
- Branch Medical Clinic Area 22
- Part of
- Branch Medical Clinic Area 22
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
43 Area Branch Medical Clinic
BLDG 434057
Camp Pendleton, CA 92055
Mailing address
43 Area Branch Medical Clinic
BLDG 434057
Camp Pendleton, CA 92055
Phone (760) 719-3268
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.