ISC SAN PEDRO BLASSER CLINIC
NPI 1821130113
Clinic/Center - Military/U.S. Coast Guard Outpatient in San Pedro, CA

Q: What is Isc San Pedro Blasser Clinic's NPI number?

The NPI number for Isc San Pedro Blasser Clinic is 1821130113. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Isc San Pedro Blasser Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

Active since February 13, 2007

1001 S SEASIDE AVE, SAN PEDRO, CA 90731(310) 732-7500(310) 732-7519 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Isc San Pedro Blasser Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISC SAN PEDRO BLASSER CLINIC (NPI 1821130113) is a healthcare organization registered as a military/u.s. coast guard outpatient in San Pedro, California and active in the NPI registry since February 2007. The organization lists Marvin Antonio Pena, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1821130113

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameISC SAN PEDRO BLASSER CLINIC

Location Address1001 S SEASIDE AVESan Pedro, CA 90731-7333

Mailing Address1001 S Seaside AveSan Pedro, CA 90731-7333 · (310) 732-7500 · Fax (310) 732-7519

Phone(310) 732-7500

Fax(310) 732-7519

Organization SubpartNo

Authorized OfficialMarvin Antonio PenaClinic Supervisor · (310) 732-7500

Enumeration DateFebruary 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1821130113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities

Taxonomy Code261QM1100X

Definition

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.

1001 S SEASIDE AVE, San Pedro, CA 90731

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIAN FRANCO IDHS

Military Health Care Provider (Independent Duty Corpsman)