Isc San Pedro Blasser Clinic in San Pedro - Military/u.s. Coast Guard Outpatient
Isc San Pedro Blasser Clinic - NPI 1821130113
Isc San Pedro Blasser Clinic is a Military/u.s. Coast Guard Outpatient in San Pedro, California. Isc San Pedro Blasser Clinic practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Isc San Pedro Blasser Clinic is 1821130113. The last update date is 2020-08-22.
Isc San Pedro Blasser Clinic's current location address is 1001 S Seaside Ave, San Pedro, California. You can contact this provider via phone number 3107327500 and fax number 3107327519. The mailing address for Isc San Pedro Blasser Clinic is 1001 S Seaside Ave, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Isc San Pedro Blasser Clinic |
|---|---|
| Address | 1001 S Seaside Ave, San Pedro, California |
| Phone Number | 3107327500 |
| Fax Number | 3107327519 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC SUP |
|---|---|
| Authorized Official Name | Pena Antonio Marvin |
| Telephone Number | 3107327500 |
NPI Number Detail
| NPI Number | 1821130113 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1001 S Seaside Ave |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907317333 |
| Phone Number | 3107327500 |
| Fax Number | 3107327519 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
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Definition: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-dep |
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What is the unique 10-digit identification code issued to Isc San Pedro Blasser Clinic by the Centers for Medicare & Medicaid Services?
The Isc San Pedro Blasser Clinic has been assigned the NPI (National Provider Identifier) 1821130113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Isc San Pedro Blasser Clinic is physically located?
The Isc San Pedro Blasser Clinic is situated at the following address: 1001 S Seaside Ave, San Pedro, CA 907317333.
What is the Isc San Pedro Blasser Clinic's area of specialization and corresponding taxonomy classification?
The Isc San Pedro Blasser Clinic's specialty field is Military/u.s. Coast Guard Outpatient, and it falls under the taxonomy code 261Qm1100X, which categorizes healthcare providers based on their specialties.
On what date did the Isc San Pedro Blasser Clinic receive its 1821130113 assignment from the Centers for Medicare & Medicaid Services?
The Isc San Pedro Blasser Clinic was assigned its 1821130113 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information related to Isc San Pedro Blasser Clinic most recently updated or refreshed?
The details pertaining to the Isc San Pedro Blasser Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.