United States Navy
Organization Active NPI Independent Duty Corpsman · 29 Palms, CA
NPI 1568905511 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1568905511
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Legal business name
- UNITED STATES NAVY
- Practice address
- 1St Mardiv 7TH Marine Reg
Navpers Office BLDG 1525
29 Palms, CA 92278-8150 - Phone
- (760) 830-5707
- NPI assigned
- Nov 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Mikhailpietro Orena Drilon
- Title
- Independent Duty Corpsman
- Phone
- (626) 215-1564
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Uss Pasadenassn752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman |
1710I1002X | Yes |
Addresses
Primary practice location
1St Mardiv 7TH Marine Reg
Navpers Office BLDG 1525
29 Palms, CA 92278-8150
Mailing address
10614 Pinewood Ave
Tujunga, CA 91042-1513
Phone (818) 353-8277
Other providers in 29 Palms, CA
- Laura P Nunez
- Stephanie Lois Roadarmel
- Michelle Marie Rogers
- Winston Earl Rudder
- Jesse Revin Situmeang
- Leonard Joseph Weston
All providers in 29 Palms, CA · Independent Duty Corpsman in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. 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.