Vandenberg Phcy

LBN: 30 Medical Group/Sgsl
Vandenberg Phcy is an health care organization with primary practice located at 338 S Dakota Ave Bldg 13850, Vandenberg Afb CA 93437-6307. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 30 Medical Group/Sgsl can be contacted via phone (805) 606-7440, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
338 S Dakota Ave Bldg 13850 Vandenberg Afb CA 93437-6307
Phone: (805) 606-7440
Fax: (805) 734-9842
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1679670434
LBN Legal business name 30 Medical Group/Sgsl
DBA Doing business as Vandenberg Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679670434 NPPES
Other 2115792 PK

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