Branch Medical Clinic China Lake
NPI #1023212677 in Ridgecrest, California
Provider Information
- NPI Number
- 1023212677
- Entity Type
- Organization
- Organization Name
- Branch Medical Clinic China Lake
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NAVAL HOSPITAL TWENTYNINE PALMS
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jun 14, 2007
- Last Updated
- Oct 16, 2017
Practice Location
- Address
- 1 ADMINISTRATION CIR
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-6104
- Phone
- (760) 830-2498
Authorized Official
- Name
- WILLIAM M CONDON
- Title
- BUMED UBO
- Phone
- (240) 401-3643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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