Jacob Brody Hood Lake, IDC - San Diego, CA

Jacob Brody Hood Lake, IDC

Independent Duty Corpsman in San Diego, California

NPI 1871355974

Jacob Brody Hood Lake is a Independent Duty Corpsman based in Imperial Beach, CA and is specialized in Independent Duty Corpsman. Jacob Brody Hood Lake practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Jacob Brody Hood Lake is 1871355974 and holds a License No. (California).

The current practice location address for Jacob Brody Hood Lake is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 757-376-3269.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 91932-1007

NPI Number

1871355974

Provider Name

Jacob Brody Hood Lake

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave Bldg 14, San Diego, CA, 91932-1007

Phone Number

757-376-3269

Fax Number

Provider Enumeration Date

01/25/2024

Last Update Date

03/10/2024

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-7000

Phone Number

757-376-3269

Fax Number

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-7000

Phone Number

757-376-3269

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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