Provider Demographics
NPI:1265406573
Name:U.S. NAVY
Entity type:Organization
Organization Name:U.S. NAVY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMERGENCY MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERRIKA
Authorized Official - Middle Name:MAIRE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-532-8274
Mailing Address - Street 1:6303 AVENIDA DE LAS VISTAS
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-6611
Mailing Address - Country:US
Mailing Address - Phone:619-934-4297
Mailing Address - Fax:
Practice Address - Street 1:3800 BOB WILSON DRIVE
Practice Address - Street 2:NMCSD- EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-8274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77149207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty