1538145412 61ST MEDICAL SQUADRON

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

Active

Basic Information

Organization Name
61ST MEDICAL SQUADRON
Enumeration Date
December 21, 2005
Last Update
May 21, 2014
Authorized Official
MS. THERESA M. MITCHELL
AF UBO ANALYST
Phone: (703) 681-7613

Practice Location

Address
2420 VELA WAY
SUITE 1866
EL SEGUNDO, CA 902454659
Phone
(310) 363-6640
Fax
(310) 363-0243

Mailing Address

Address
2420 VELA WAY
STE 1467
EL SEGUNDO, CA 902454659
Phone
(310) 653-6437
Fax
(310) 653-0243

Specialties & Taxonomies

Specialty Code Classification License State Primary
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 Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy 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
05-37918 01 CA NCPDP

Frequently Asked Questions

What is 61ST MEDICAL SQUADRON's NPI number?
61ST MEDICAL SQUADRON's NPI number is 1538145412.
Which doctor has NPI number 1538145412?
The doctor with NPI number 1538145412 is 61ST MEDICAL SQUADRON.
What is 61ST MEDICAL SQUADRON's practice address?
61ST MEDICAL SQUADRON's practice address is 2420 VELA WAY, SUITE 1866, EL SEGUNDO, CA, 902454659.
Which doctor practices at 2420 VELA WAY, SUITE 1866, EL SEGUNDO, CA, 902454659?
61ST MEDICAL SQUADRON practices at 2420 VELA WAY, SUITE 1866, EL SEGUNDO, CA, 902454659.
What is 61ST MEDICAL SQUADRON's phone number?
61ST MEDICAL SQUADRON's phone number is (310) 363-6640.
Who is (310) 363-6640?
(310) 363-6640 is the phone number for 61ST MEDICAL SQUADRON.
What is 61ST MEDICAL SQUADRON's specialty?
61ST MEDICAL SQUADRON's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 61ST MEDICAL SQUADRON?
61ST MEDICAL SQUADRON is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 61ST MEDICAL SQUADRON a Military/U.S. Coast Guard Outpatient?
Yes, 61ST MEDICAL SQUADRON is a Military/U.S. Coast Guard Outpatient.
Is 61ST MEDICAL SQUADRON still practicing?
Yes, 61ST MEDICAL SQUADRON is currently practicing.
Is 61ST MEDICAL SQUADRON accepting new patients?
61ST MEDICAL SQUADRON may be accepting new patients. Please call their office at (310) 363-6640 to inquire about availability.
Is NPI 1538145412 still active?
Yes, NPI 1538145412 is currently active.
Where does 61ST MEDICAL SQUADRON practice?
61ST MEDICAL SQUADRON practices in EL SEGUNDO, CA.