Samuel Gonzalez, IDC - San Diego, CA

Samuel Gonzalez, IDC

Independent Duty Corpsman in San Diego, California

NPI 1083492391

Samuel Gonzalez is a Independent Duty Corpsman based in Lakeside, CA and is specialized in Independent Duty Corpsman. Samuel Gonzalez practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Samuel Gonzalez is 1083492391 and holds a License No. (California).

The current practice location address for Samuel Gonzalez is 34101 Farenholt Ave, San Diego, CA and can be reached out via phone at 915-330-7612.

Location: 34101 Farenholt Ave, San Diego, CA, 92040-1236

NPI Number

1083492391

Provider Name

Samuel Gonzalez

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave, San Diego, CA, 92040-1236

Phone Number

915-330-7612

Fax Number

Provider Enumeration Date

09/18/2023

Last Update Date

03/10/2024

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-7000

Phone Number

915-330-7612

Fax Number

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-7000

Phone Number

915-330-7612

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

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Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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