1477536126 30TH MEDICAL GROUP

Military/U.S. Coast Guard Outpatient Clinic/Center

Active

Basic Information

Organization Name
30TH MEDICAL GROUP
Enumeration Date
November 28, 2005
Last Update
March 12, 2025
Authorized Official
WILLIAM MICHAEL CONDON
DEFENSE HEALTH AGENCY (DHA) FINANCI
Phone: (240) 401-3643

Practice Location

Address
338 S DAKOTA AVE
VANDENBERG AFB, CA 934376307
Phone
(805) 606-3012
Fax
(805) 606-4474

Mailing Address

Address
338 S DAKOTA AVE
VANDENBERG AFB, CA 934376307
Phone
(805) 606-3012
Fax
(805) 606-4474

Specialties & Taxonomies

Specialty Code Classification License State Primary
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A No
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X Clinic/Center N/A N/A No
Military/U.S. Coast Guard Outpatient Clinic/Center
Military/U.S. Coast Guard Outpatient
261QM1100X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
05-49759 01 CA NCPDP

Frequently Asked Questions

What is 30TH MEDICAL GROUP's NPI number?
30TH MEDICAL GROUP's NPI number is 1477536126.
Which doctor has NPI number 1477536126?
The doctor with NPI number 1477536126 is 30TH MEDICAL GROUP.
What is 30TH MEDICAL GROUP's practice address?
30TH MEDICAL GROUP's practice address is 338 S DAKOTA AVE, VANDENBERG AFB, CA, 934376307.
Which doctor practices at 338 S DAKOTA AVE, VANDENBERG AFB, CA, 934376307?
30TH MEDICAL GROUP practices at 338 S DAKOTA AVE, VANDENBERG AFB, CA, 934376307.
What is 30TH MEDICAL GROUP's phone number?
30TH MEDICAL GROUP's phone number is (805) 606-3012.
Who is (805) 606-3012?
(805) 606-3012 is the phone number for 30TH MEDICAL GROUP.
What is 30TH MEDICAL GROUP's specialty?
30TH MEDICAL GROUP's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 30TH MEDICAL GROUP?
30TH MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 30TH MEDICAL GROUP a Military/U.S. Coast Guard Outpatient?
Yes, 30TH MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient.
Is 30TH MEDICAL GROUP still practicing?
Yes, 30TH MEDICAL GROUP is currently practicing.
Is 30TH MEDICAL GROUP accepting new patients?
30TH MEDICAL GROUP may be accepting new patients. Please call their office at (805) 606-3012 to inquire about availability.
Is NPI 1477536126 still active?
Yes, NPI 1477536126 is currently active.
Where does 30TH MEDICAL GROUP practice?
30TH MEDICAL GROUP practices in VANDENBERG AFB, CA.