| NAME |
EAST LOS ANGELES |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
5426 E OLYMPIC BLVD |
| CITY |
COMMERCE |
| ZIP |
90022-5113 |
| OFFICIAL VA NAME |
EAST LOS ANGELES CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
COMMERCE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
5426 E OLYMPIC BLVD |
| CITY (MAILING) |
COMMERCE |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
90022-5113 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477508950
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477508950
-
- CODING SYSTEM: VASTANUM
- ID: 691GF
|
