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Search › California › Independent Duty Corpsman

Michael Mahoney, IDC

NPI 1144858317 · on the registry since 2020

Practice

Address
34800 Bob Wilson Dr Ste 14
San Diego, CA 92134
Phone
(636) 634-6383
Organisation at this address
Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,481

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California