BENEDICTO VICENCIO MANALANSAN SFIDC NPI 1588822605

NPI Information

Benedicto Vicencio Manalansan, SFIDC is an independent duty corpsman military health care provider in San Diego, CA. The provider is 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. Benedicto Vicencio Manalansan, SFIDC NPI is 1588822605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2240 SPRING OAK WAY
SAN DIEGO, CA
ZIP 92139-922
Phone: (619) 475-1100

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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