ISC SAN PEDRO BLASSER CLINIC is a military/u.s. coast guard outpatient clinic center in San Pedro, CA. The provider is 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. ISC SAN PEDRO BLASSER CLINIC NPI is 1821130113. The provider is registered as an organization entity type.
The provider's business location address is:
1001 S SEASIDE AVE
SAN PEDRO, CA
ZIP 90731-333
Phone: (310) 732-7500
Fax: (310) 732-7519
The provider's authorized official is Marvin Antonio Pena .
The authorized official title is Clinic Supervisor and has the following contact phone number (310) 732-7500.
The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.