| Tricare Outpatient Clinic Chula Vista | |
| 
					644 Naples St Chula Vista CA 91911-1636  | |
| (619) 744-5355 | |
| (619) 744-5391 | 
| Full Name | Tricare Outpatient Clinic Chula Vista | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 644 Naples St, Chula Vista, California | 
| Authorized Official Name and Position | Judy Marie Montano (MEDICAL ADMINISTRATIVE OFFICER) | 
| Authorized Official Contact | 6197445354 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tricare Outpatient Clinic Chula Vista 644 Naples St Chula Vista CA 91911-1636 Ph: (619) 744-5355  | Tricare Outpatient Clinic Chula Vista 644 Naples St Chula Vista CA 91911-1636 Ph: (619) 744-5355  | 
| NPI Number | 1063611580 | 
|---|---|
| Provider Enumeration Date | 07/13/2007 | 
| Last Update Date | 07/13/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063611580 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
Robert H Moon Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1030 White Alder Ave, Chula Vista, CA 91914 Phone: 619-800-6713 Fax: 619-503-9000  | |
Leticia Uwedjojevwe Md Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 4th Ave Ste 10, Chula Vista, CA 91910 Phone: 619-934-2215 Fax: 619-934-2340  | |
Family Health Centers Of San Diego Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 248 Landis Ave, Chula Vista, CA 91910 Phone: 619-515-2562 Fax: 619-269-0115  | |
Centro De Salud De La Comunidad De San Ysidro Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Tierra Del Rey, Ste 303, 304, 305, Chula Vista, CA 91910 Phone: 619-662-4100  | |
Family Health Centers Of San Diego, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 Landis Ave Ste 100, Chula Vista, CA 91910 Phone: 619-906-5383 Fax: 619-237-1856  | |
Sharna B Shachar M D A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 H St, Chula Vista, CA 91910 Phone: 619-409-9999 Fax: 619-409-9905  | |
Operation Samahan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 4th Ave Ste 401, Chula Vista, CA 91910 Phone: 844-200-2426 Fax: 619-356-2726  |