Organization Name: | US NAVAL HOSPITAL ROTA |
NPI Number: | 1366421398 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WON K MOON (STAFF FAMILY MEDICINE) |
Mailing Address: | Psc 819 Box 18-312 Fpo |
State: | AE US |
Postal Code: | 09645 |
Phone Number: | 956828904 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | A74239 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |