Dod Los Angeles Ephcy

LBN: 61St Medical Squadron Sgsr
Dod Los Angeles Ephcy is an health care organization with primary practice located at 483 N Aviation Blvd Bldg 210 , El Segundo CA 90245-2808. 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. 61St Medical Squadron Sgsr can be contacted via phone (310) 653-6841, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
483 N Aviation Blvd Bldg 210 El Segundo CA 90245-2808
Phone: (310) 653-6841
Fax: (310) 653-6658
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 1720496383
LBN Legal business name 61St Medical Squadron Sgsr
DBA Doing business as Dod Los Angeles Ephcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2014
Last updated Mar 30th, 2016 - about 10 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 1720496383 NPPES
Other 2147045 PK

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