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61st Medical Squadron
Military/U.S. Coast Guard Pharmacy in El Segundo, California
NPI 1538145412

61st Medical Squadron is a Military/U.S. Coast Guard Pharmacy based in El Segundo, CA. 61st Medical Squadron practices in El Segundo, CA. The NPI Number for 61st Medical Squadron is 1538145412 and holds a License No. (California).

The current practice location address for 61st Medical Squadron is 2420 Vela Way, El Segundo, CA and can be reached out via phone at 310-363-6640 and via fax at 310-363-0243.

Location: 2420 Vela Way, El Segundo, CA, 90245-4659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538145412
Provider Name
61st Medical Squadron
Credential
Provider Entity Type
Organization
Address
2420 Vela Way, El Segundo, CA, 90245-4659
Phone Number
310-363-6640
Fax Number
310-363-0243
Provider Enumeration Date
12/21/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-37918 01 CA NCPDP
institution
Provider Business Practice Location Address Details
Address
2420 Vela Way
City
El Segundo
State
California
Zip
90245-4659
Phone Number
310-363-6640
Fax Number
310-363-0243
person
Provider Business Mailing Address Details
Address
2420 Vela Way
City
El Segundo
State
California
Zip
90245-4659
Phone Number
310-363-6640
Fax Number
310-363-0243
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
()
Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military and U.S. Coast Guard Ambulatory Procedure
Taxonomy
261QM1101X
License No.
()
Definition
That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
()
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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