Naval Hospital Camp Pendleton

Specialty details in registry · Port Hueneme, CA

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At a glance

162 1St St Bldg 1402, Port Hueneme, CA 93043

NPPES record updated Mar 14, 2023. Public records can lag behind changes at a practice.

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Practice location

162 1St St Bldg 1402
Port Hueneme, CA 93043
Professional details: NPI, taxonomy & registry record
NPI1033506431
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332000000X
Enumeration date
Apr 23, 2015
Record updated
Mar 14, 2023
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332000000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

162 1St St Bldg 1402
Port Hueneme, CA 93043
Phone
(805) 982-6411
Fax
(805) 982-6095
Mailing address
34520 BOB WILSON DR
STE 20
SAN DIEGO, CA 921342098
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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