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Andrew V Velikic, IDC
Military/U.S. Coast Guard Outpatient Clinic/Center in San Diego, California
NPI 1982324679

Andrew V Velikic is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Camp Pendleton, CA and is specialized in Military/U.S. Coast Guard Outpatient. Andrew V Velikic practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Andrew V Velikic is 1982324679 and holds a License No. (California).

The current practice location address for Andrew V Velikic is 3401 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-5110.

Location: 3401 Farenholt Ave Bldg 14, San Diego, CA, 92055-5657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982324679
Provider Name
Andrew V Velikic
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
3401 Farenholt Ave Bldg 14, San Diego, CA, 92055-5657
Phone Number
619-532-5110
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3401 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-5291
Phone Number
619-532-5110
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-5291
Phone Number
619-532-5110
Fax Number
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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