OrganizationBranch Medical Clinic Area 53Clinic/CenterAmbulatory Health Care FacilitiesPractice Address53 Area Branch Medical Clinic, Bldg 533020, Camp Pendleton, CA 92055(760) 725-7410PECOS EnrollmentBased on the most recent information from CMS, provider Branch Medical Clinic Area 53 does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1154715811Provider TypeOrganizationFull NameBranch Medical Clinic Area 53SubpartYesEnumeration Date3/20/2015Last Updated5/25/2018Contact InformationPractice LocationPractice Address53 Area Branch Medical Clinic, Bldg 533020, Camp Pendleton, CA 92055Phone(760) 725-7410FaxUnlisted FaxMailing LocationMailing Address53 Area Branch Medical Clinic, Bldg 533020, Camp Pendleton, CA 92055Phone(760) 725-7410FaxUnlisted FaxAuthorized OfficialNameCondon, William M (Bumed Ubo)Phone(240) 401-3643Provider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer