61st Med Sq-Los Angeles
61st Med Sq-Los Angeles is a Military/U.S. Coast Guard Outpatient Clinic/Center in El Segundo, California. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
2420 Vela Way Ste 1866El Segundo, CA 90245-4659
Phone: (310) 363-6640
Fax: (310) 363-0243
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 | 1538145412 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 61st Med Sq-Los Angeles |
| Authorized official | Jen Lewandowski — Dha Ubo · (703) 817-4030 |
| NPI enumerated | December 21, 2005 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 2420 Vela Way, Ste 1467, El Segundo, CA 90245-4659 |