30th Medgrp-Vandenberg
30th Medgrp-Vandenberg is a Military/U.S. Coast Guard Outpatient Clinic/Center in Vandenberg AFB, California. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
338 S Dakota AveVandenberg AFB, CA 93437-6307
Phone: (805) 606-3012
Fax: (805) 606-4474
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Outpatient Clinic/Center (primary) | Taxonomy 261QM1100X |
|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Taxonomy 261QM1101X |
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1477536126 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 30th Medgrp-Vandenberg |
| Authorized official | Jen Lewandowski — Defense Health Agency (Dha) Financi · (703) 817-4030 |
| NPI enumerated | November 28, 2005 |
| Last updated in NPPES | June 12, 2025 |
| Certification date | June 12, 2025 |
| Mailing address | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 |