| NAME |
RANCHO CUCAMONGA CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
8160 DAY CREEK BLVD STE 120 |
| CITY |
RANCHO CUCAMONGA |
| ZIP |
91739-9329 |
| OFFICIAL VA NAME |
RANCHO CUCAMONGA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RANCHO CUCAMONGA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1982644373
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
605GE |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 8160 DAY CREEK BLVD
- CITY (CHANGED FROM): RANCHO CUCAMONGA
- STATE (CHANGED FROM): CALIFORNIA
- ZIP (CHANGED FROM): 91739-9329
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1982644373
-
- CODING SYSTEM: VASTANUM
- ID: 605GE
-
- CODING SYSTEM: CLIA
- ID: 05D2239921
|
