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Contact Information

TRICARE OUTPATIENT CLINIC CLAIREMONT
8808 BALBOA AVE
SAN DIEGO, CA92123-1592
 Phone: 619-645-0169
 Fax: 619-645-0193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for TRICARE OUTPATIENT CLINIC CLAIREMONT

NPI # 1922206853
LBN Legal business name TRICARE OUTPATIENT CLINIC CLAIREMONT
Authorized official WILLIAM CONDON - (NAVY MEDICINE UBO PROGRAM MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/03/2007
Last updated 04/04/2019 - About 7 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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