| NAME |
VICTORVILLE CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
14598 SEVENTH ST STE B |
| CITY |
VICTORVILLE |
| ZIP |
92395-4214 |
| OFFICIAL VA NAME |
VICTORVILLE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VICTORVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1689613507
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
605GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1689613507
-
- CODING SYSTEM: VASTANUM
- ID: 605GA
-
- CODING SYSTEM: CLIA
- ID: 05D2239919
|
