CHULA VISTA (1765)    INSTITUTION (4)

Name Value
NAME CHULA VISTA
STATE CALIFORNIA
STREET ADDR. 1 353 H ST
CITY CHULA VISTA
ZIP 91910-5501
OFFICIAL VA NAME CHULA VISTA CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHULA VISTA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1821040965
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 664GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1821040965
  • CODING SYSTEM:   VASTANUM
    ID:   664GC
  • CODING SYSTEM:   CLIA
    ID:   05D1017010