30th Medgrp-Vandenberg
NPI #1477536126 in Vandenberg Afb, California
Provider Information
- NPI Number
- 1477536126
- Entity Type
- Organization
- Organization Name
- 30th Medgrp-Vandenberg
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 30TH MEDGRP-VANDENBERG
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Nov 28, 2005
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 338 S DAKOTA AVE
- City
- Vandenberg Afb
- State
- California
- ZIP Code
- 93437-6307
- Phone
- (805) 606-3012
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DEFENSE HEALTH AGENCY (DHA) FINANCI
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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