| NAME |
ANTELOPE VALLEY VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
340 EAST AVE, SUITE 108 |
| CITY |
LANCASTER |
| ZIP |
93535-1941 |
| OFFICIAL VA NAME |
ANTELOPE VALLEY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LANCASTER VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1295788925
-
- 2015-04-01 00:00:00
- STATUS: ACTIVE
- NPI: 1295788925
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GG |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1295788925
-
- CODING SYSTEM: VASTANUM
- ID: 691GG
|
