OrganizationActive
30th Medgrp-Vandenberg
NPI 1477536126 · Military/U.S. Coast Guard Outpatient Clinic/Center · Vandenberg Afb, CA
Provider details
- NPI number
- 1477536126
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 30th Medgrp-Vandenberg
- Authorized official
- Jen Lewandowski, Defense Health Agency (dha) Financi
Practice location
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Phone: (805) 606-3012
Fax: (805) 606-4474
Mailing address
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Registry dates
- Enumerated
- 2005-11-28
- Last updated
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.