| NAME |
MURRIETA CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
25125 MADISON AVE STE 105 |
| CITY |
MURRIETA |
| ZIP |
92562-8970 |
| OFFICIAL VA NAME |
MURRIETA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MURRIETA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1871539981
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
605GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 25125 MADISON AVE
- CITY (CHANGED FROM): MURRIETA
- STATE (CHANGED FROM): CALIFORNIA
- ZIP (CHANGED FROM): 92562-8969
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1871539981
-
- CODING SYSTEM: VASTANUM
- ID: 605GB
-
- CODING SYSTEM: CLIA
- ID: 05D2302550
|
