Usaf 95Mdos

Organization Active NPI Military Hospital · Edwards Afb, CA

NPI 1467413773 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1467413773
Entity type
Organization (NPI type 2)
Primary specialty
Military Hospital 286500000X
License
21258 (MA)
Legal business name
USAF 95MDOS
Practice address
31 Nightingale Rd
BLDG 5513
Edwards Afb, CA 93524-0001
Phone
(661) 277-2872
NPI assigned
Mar 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Christian A Pham, DMD
Title
General Dentist
Phone
(661) 277-2872

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
55 Mdos (29 organizations share this tax ID)

Locations

31 Nightingale Rd
Edwards, CA 93524
Phone (661) 277-2872

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 21258 MA Yes

Addresses

Primary practice location

31 Nightingale Rd
BLDG 5513
Edwards Afb, CA 93524-0001

Mailing address

4211 W 1St St
Unit #54
Santa Ana, CA 92703-4023

Other providers in Edwards Afb, CA

All providers in Edwards Afb, CA · Military Hospital in California

Sources for this page

Verify at the official NPI Registry.