| NAME |
ESCONDIDO |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
815 E. PENNSYLVANIA AVE |
| CITY |
ESCONDIDO |
| ZIP |
92025-3424 |
| OFFICIAL VA NAME |
ESCONDIDO CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ESCONDIDO VA CLINIC |
| ST. ADDR. 1 (MAILING) |
815 E. PENNSYLVANIA AVE |
| CITY (MAILING) |
ESCONDIDO |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
92025-3424 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1538112552
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
664GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1538112552
-
- CODING SYSTEM: VASTANUM
- ID: 664GD
-
- CODING SYSTEM: CLIA
- ID: 05D1104272
|
