61st Med Sq-los Angeles
Military/U.S. Coast Guard Outpatient
2420 Vela Way, Suite 1866, El Segundo
California, 90245-4659
310-363-6640 310-363-0243
61st Med Sq-los Angeles is a Military/U.S. Coast Guard Outpatient in El Segundo, California. This organization is also known as sub part of 61st Med Sq-los Angeles. It is located at 2420 Vela Way, Suite 1866, El Segundo and it's customer support contact number is 310-363-6640. The authorized person of 61st Med Sq-los Angeles is Jen Lewandowski who is Dha Ubo of the pharmacy and his contact number is 703-817-4030.
61st Med Sq-los Angeles is the Defense Health Program or U.S. Coast Guard funded “fixed” facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A “fixed” facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the “fixed” facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Pharmacy Details:
61st Med Sq-los Angeles type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 61st Med Sq-los Angeles |
| Type: | Military/U.S. Coast Guard Outpatient |
| Location: | 2420 Vela Way, Suite 1866, El Segundo,
California, 90245-4659 |
| Phone: | 310-363-6640 |
| Fax: | 310-363-0243 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jen Lewandowski |
| Position: | Dha Ubo |
| Contact Number: | 703-817-4030 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1538145412 |
| Parent Organization: | 61st Med Sq-los Angeles |
| NPI Enumeration Date: | 21 Dec, 2005 |
| NPI Last Update On: | 17 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 61st Med Sq-los Angeles are as mentioned below.
| Specialization | License Number | State | Status | |
| Military/U.S. Coast Guard Outpatient | | | Primary | |
| Military and U.S. Coast Guard Ambulatory Procedure | | | Secondary | |
| Military/u.s. Coast Guard Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05-37918 | Other | California | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2420 Vela Way, Ste 1467
El Segundo, California |
| Zip: | 90245-4659 |
| Phone Number: | 310-653-6437 |
| Fax Number: | 310-653-0243 |
Patients can reach 61st Med Sq-los Angeles at
2420 Vela Way, Suite 1866, El Segundo, California or can
call on customer care at 310-363-6640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.