| NAME |
SAN LUIS OBISPO |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
1288 MORRO ST SUITE 200 |
| CITY |
SAN LUIS OBISPO |
| ZIP |
93401-6301 |
| OFFICIAL VA NAME |
SAN LUIS OBISPO CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SAN LUIS OBISPO VA CBOC |
| ST. ADDR. 1 (MAILING) |
1288 MORRO ST SUITE 200 |
| CITY (MAILING) |
SAN LUIS OBISPO |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
93401-6301 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1174561799
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GK |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1174561799
-
- CODING SYSTEM: VASTANUM
- ID: 691GK
|
