| NAME |
CORONA CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
280 TELLER ST STE 120 |
| CITY |
CORONA |
| ZIP |
92879-1888 |
| OFFICIAL VA NAME |
CORONA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CORONA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
2045 COMPTON AVE, SUITE 101 |
| CITY (MAILING) |
CORONA |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
92281 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1750333845
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
605GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1750333845
-
- CODING SYSTEM: VASTANUM
- ID: 605GD
-
- CODING SYSTEM: CLIA
- ID: 05D2235559
|
