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Contact Information

BRANCH MEDICAL CLINIC EASTLAKE
2300 BOSWELL RD
SUITE 190
CHULA VISTA, CA91914-3523
 Phone: 619-744-5355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for BRANCH MEDICAL CLINIC EASTLAKE

NPI # 1568865319
LBN Legal business name BRANCH MEDICAL CLINIC EASTLAKE
Authorized official WILLIAM CONDON - (BUMED UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/07/2014
Last updated 11/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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