Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE S O'BRIEN, DEEP SEA DIVING IDC
Active Sole ProprietorSHANE S O'BRIEN, DEEP SEA DIVING IDC is a Military Health Care Provider healthcare provider located in IMPERIAL BEACH, California. NPI 1790248375 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · IMPERIAL BEACH, CA
Registration Details
- NPI Number
- 1790248375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2019 (7.3892244542565 yrs)
- Last Updated
- Apr 10, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
842 GEORGIA STIMPERIAL BEACH, CA, 919322343Browse CA providers · Browse ZIP 91932
- Phone
- 6198691952
- Primary Specialty
-
Military Health Care Provider
171000000X
Other Military Health Care Provider Providers in IMPERIAL BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN RICHARD FLOHR | NAVY DIVE IDC | 1780920165 |
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.