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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TRISTAN DAVID CAVENDER, DIVE IDC

Active

MR. TRISTAN DAVID CAVENDER, DIVE IDC is a Independent Duty Corpsman healthcare provider located in SAN DIEGO, California. NPI 1558651711 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · SAN DIEGO, CA

Registration Details

NPI Number
1558651711
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2011 (15.162822905341 yrs)
Last Updated
Apr 8, 2011

Practice Information

Address
915 57TH ST
SAN DIEGO, CA, 921141205
Browse CA providers · Browse ZIP 92114
Phone
6195272815
Primary Specialty
Independent Duty Corpsman
1710I1002X
Additional Specialty
Independent Duty Corpsman

Other Independent Duty Corpsman Providers in SAN DIEGO, CA

Name Credential NPI
MR. MARIO OSWALDO MARTIN IDC 1497726525
MR. MICHAEL TAD GARRITSON IDC 1598736449
EDWARD J BIGGS IDC 1790756641
MR. ALLEN JAMES LAHEIST IDC 1871560284
MARK L WILLIAMSON IDC 1699743534
ARMANDO GONZALEZ SFIDC 1811964844
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.