| US Navy | |
|
2446 Trident Way San Diego CA 92155-5494 | |
| (619) 437-0777 | |
| (619) 437-5248 |
| Full Name | US Navy |
|---|---|
| Speciality | Clinic/center |
| Location | 2446 Trident Way, San Diego, California |
| Authorized Official Name and Position | Randy N Lightcap (PROVIDER) |
| Authorized Official Contact | 6194370777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| US Navy 2446 Trident Way San Diego CA 92155-5494 Ph: (619) 437-0777 | US Navy 2446 Trident Way San Diego CA 92155-5494 Ph: (619) 437-0777 |
| NPI Number | 1417197591 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417197591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
Revivify Restorative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 |
Timely Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12396 World Trade Dr, San Diego, CA 92128 Phone: 858-838-3900 Fax: 619-939-4556 |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 |
Michael L Butera MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 |