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

Mr. Mitchel Grande Deguzman, IDC

Individual provider Independent Duty Corpsman · NPI 1487928057

Mr. Mitchel Grande Deguzman, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-5291
Phone: (619) 252-8557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1487928057
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 29, 2012
Last updated in NPPESFebruary 29, 2012

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