Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Isc San Pedro Blasser Clinic

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1821130113

Isc San Pedro Blasser Clinic is a Military/U.S. Coast Guard Outpatient Clinic/Center in San Pedro, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1001 S Seaside Ave
San Pedro, CA 90731-7333
Phone: (310) 732-7500
Fax: (310) 732-7519
Show map & directions

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

Record details

NPI number1821130113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Pena — Clinic Supervisor · (310) 732-7500
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1001 S Seaside Ave, San Pedro, CA 90731-7333