| California Medical Detachment | |
|
437 Cabrillo St Suite Aia -us Army Health Clinic Presido Of Monterey CA 93944 | |
| (831) 242-7589 | |
| (831) 242-6620 |
| Full Name | California Medical Detachment |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 437 Cabrillo St, Presido Of Monterey, California |
| Authorized Official Name and Position | Patricia Barnhart (CREDENTIALS MANAGER) |
| Authorized Official Contact | 2539682252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Medical Detachment 9040 Reid St. Attn. Mchj-qcr Tacoma WA 98431-3278 Ph: (253) 986-2252 | California Medical Detachment 437 Cabrillo St Suite Aia -us Army Health Clinic Presido Of Monterey CA 93944 Ph: (831) 242-7589 |
| NPI Number | 1205898871 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205898871 | NPI | - | NPPES |
| 04753 | Other | MD | LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05743 (Maryland) | Primary |