CAPITOLA VA CLINIC (1667) INSTITUTION (4)

Name	Value
NAME	CAPITOLA VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	1350 41ST AVENUE, SUITE 102
CITY	CAPITOLA
ZIP	95010-3934
OFFICIAL VA NAME	CAPITOLA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	CAPITOLA VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1548213325
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	640GA
IDENTIFIER	CODING SYSTEM: NPI ID: 1548213325 CODING SYSTEM: VASTANUM ID: 640GA