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Isc San Pedro Blasser Clinic
Military/U.S. Coast Guard Outpatient Clinic/Center in San Pedro, California
NPI 1821130113

Isc San Pedro Blasser Clinic is a Military/U.S. Coast Guard Outpatient Clinic/Center based in San Pedro, CA and is specialized in Military/U.S. Coast Guard Outpatient. Isc San Pedro Blasser Clinic practices in San Pedro, CA. The NPI Number for Isc San Pedro Blasser Clinic is 1821130113 and holds a License No. (California).

The current practice location address for Isc San Pedro Blasser Clinic is 1001 S Seaside Ave, San Pedro, CA and can be reached out via phone at 310-732-7500 and via fax at 310-732-7519.

Location: 1001 S Seaside Ave, San Pedro, CA, 90731-7333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821130113
Provider Name
Isc San Pedro Blasser Clinic
Credential
Provider Entity Type
Organization
Address
1001 S Seaside Ave, San Pedro, CA, 90731-7333
Phone Number
310-732-7500
Fax Number
310-732-7519
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1001 S Seaside Ave
City
San Pedro
State
California
Zip
90731-7333
Phone Number
310-732-7500
Fax Number
310-732-7519
person
Provider Business Mailing Address Details
Address
1001 S Seaside Ave
City
San Pedro
State
California
Zip
90731-7333
Phone Number
310-732-7500
Fax Number
310-732-7519
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.
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