| NAME |
OAKLAND VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
2221 MARTIN LUTHER KING JR. WAY |
| CITY |
OAKLAND |
| ZIP |
94612-1318 |
| OFFICIAL VA NAME |
OAKLAND VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
OAKLAND VA CBOC |
| ST. ADDR. 1 (MAILING) |
2221 MARTIN LUTHER KING JR. WAY |
| CITY (MAILING) |
OAKLAND |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
94612-1318 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1023058609
-
- 2022-02-10 00:00:00
- STATUS: INACTIVE
- NPI: 1023058609
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
612BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1023058609
-
- CODING SYSTEM: VASTANUM
- ID: 612BY
-
- CODING SYSTEM: CLIA
- ID: 05D0988246
|
