| NAME |
CABRILLO,CA CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
2001 RIVER AVE, BLDG 28 |
| CITY |
LONG BEACH |
| ZIP |
90810-3622 |
| OFFICIAL VA NAME |
CABRILLO VETERANS HEALTH CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LONG BEACH VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1053362756
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
600GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1053362756
-
- CODING SYSTEM: VASTANUM
- ID: 600GC
-
- CODING SYSTEM: CLIA
- ID: 05D1054522
|
