| NAME |
ZZ-PASADENA CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
420 S. LAS TUNAS DR |
| CITY |
SAN GABRIEL |
| ZIP |
91776-1268 |
| OFFICIAL VA NAME |
ZZ-PASADENA CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SAN GABRIEL VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: INACTIVE
- NPI: 1598703969
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GO |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1598703969
-
- CODING SYSTEM: VASTANUM
- ID: 691GO
|
