61st Med Sq-Los Angeles
NPI #1538145412 in El Segundo, California
Provider Information
- NPI Number
- 1538145412
- Entity Type
- Organization
- Organization Name
- 61st Med Sq-Los Angeles
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 61ST MED SQ-LOS ANGELES
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 21, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 2420 VELA WAY
- Address 2
- SUITE 1866
- City
- El Segundo
- State
- California
- ZIP Code
- 90245-4659
- Phone
- (310) 363-6640
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- 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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