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

Thomas Cleon Jorgensen, DEEPSEADIVINGIDC

Individual provider Independent Duty Corpsman · NPI 1316725633

Thomas Cleon Jorgensen, DEEPSEADIVINGIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4588 50th St
San Diego, CA 92115-3305
Phone: (850) 530-5141
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 number1316725633
Entity typeIndividual (Type 1)
GenderMale
Credentials DEEPSEADIVINGIDC
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

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