| NAME |
SONORA VA CLINIC (640GB) |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
13663 MONO WAY |
| CITY |
SONORA |
| ZIP |
95370-5998 |
| OFFICIAL VA NAME |
SONORA VA CLINIC (640GB) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SONORA VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1346289121
-
- 2023-01-23 00:00:00
- STATUS: INACTIVE
- NPI: 1346289121
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
640GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1346289121
-
- CODING SYSTEM: VASTANUM
- ID: 640GB
-
- CODING SYSTEM: CLIA
- ID: 05D1043393
|
