OrganizationBranch Medical Clinic Area 62(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice AddressBldg 620306 8th Street, Camp Pendleton, CA 92055(760) 725-7100PECOS EnrollmentBased on the most recent information from CMS, provider Branch Medical Clinic Area 62 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 ID1871832394Provider TypeOrganizationFull NameBranch Medical Clinic Area 62Other Name<Unavail>SubpartYesEnumeration Date2/4/2013Last Updated5/25/2018Contact InformationPractice LocationPractice AddressBldg 620306 8th Street, Camp Pendleton, CA 92055Phone(760) 725-7100FaxUnlisted FaxMailing LocationMailing AddressBldg 620306 8th Street, Camp Pendleton, CA 92055Phone(760) 725-7100FaxUnlisted FaxAuthorized OfficialNameCondon, William M (Bumed Ubo)Phone(240) 401-3643Provider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer