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Contact Information

ISC SAN PEDRO BLASSER CLINIC
1001 S SEASIDE AVE
SAN PEDRO, CA90731-7333
 Phone: 310-732-7500
 Fax: 310-732-7519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for ISC SAN PEDRO BLASSER CLINIC

NPI Number 1821130113
LBN Legal business name ISC SAN PEDRO BLASSER CLINIC
Authorized official MARVIN PENA - (CLINIC SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 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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