| NAME |
LYNWOOD CBOC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
3737 E MARTIN LUTHER KING DR SUITE 515 |
| CITY |
LYNWOOD |
| ZIP |
90262-3513 |
| OFFICIAL VA NAME |
LYNWOOD CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LYNWOOD VA CBOC |
| ST. ADDR. 1 (MAILING) |
3737 E MARTIN LUTHER KING DR SUITE 515 |
| CITY (MAILING) |
LYNWOOD |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
90262-3513 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1770524530
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
691GN |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1770524530
-
- CODING SYSTEM: VASTANUM
- ID: 691GN
|
