OrganizationActive
Isc San Pedro Blasser Clinic
NPI 1821130113 · Military/U.S. Coast Guard Outpatient Clinic/Center · San Pedro, CA
Provider details
- NPI number
- 1821130113
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvin Pena, Clinic Supervisor(310) 732-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1001 S Seaside Ave
San Pedro, CA 90731-7333
Phone: (310) 732-7500
Fax: (310) 732-7519
Approximate (ZIP-level) locationGet directions
Mailing address
1001 S Seaside Ave
San Pedro, CA 90731-7333
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.