Raphael Luke Landicho - San Diego, CA

Raphael Luke Landicho

Independent Duty Corpsman in San Diego, California

NPI 1205424223

Raphael Luke Landicho is a Independent Duty Corpsman based in Moreno Valley, CA and is specialized in Independent Duty Corpsman. Raphael Luke Landicho practices in San Diego, CA. The NPI Number for Raphael Luke Landicho is 1205424223 and holds a License No. (California).

The current practice location address for Raphael Luke Landicho is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92555-2250

NPI Number

1205424223

Provider Name

Raphael Luke Landicho

Credential

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave Bldg 14, San Diego, CA, 92555-2250

Phone Number

619-532-7968

Fax Number

Provider Enumeration Date

01/05/2021

Last Update Date

03/10/2024

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-7000

Phone Number

619-532-7968

Fax Number

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-7000

Phone Number

619-532-7968

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

()

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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