| NAME |
ZZ CULVER CITY |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
3831 HUGHES AVE STE 104 |
| CITY |
CULVER CITY |
| ZIP |
90230 |
| OFFICIAL VA NAME |
CULVER CITY CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| ST. ADDR. 1 (MAILING) |
3831 HUGHES AVE SUITE 104 |
| CITY (MAILING) |
CULVER CITY |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
90230 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1609828508
-
- 2007-01-07 00:00:00
- STATUS: INACTIVE
- NPI: 1609828508
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GI |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1609828508
-
- CODING SYSTEM: VASTANUM
- ID: 691GI
|
