| NAME |
MENLO PARK |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
795 WILLOW ROAD |
| CITY |
MENLO PARK |
| ZIP |
94025-2539 |
| OFFICIAL VA NAME |
PALO ALTO HEALTH CARE SYSTEM - MENLO PARK DIVSION |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MENLO PARK VAMC |
| ST. ADDR. 1 (MAILING) |
795 WILLOW ROAD |
| CITY (MAILING) |
MENLO PARK |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
94025-2539 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1750330213
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
640A0 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1750330213
-
- CODING SYSTEM: VASTANUM
- ID: 640A0
-
- CODING SYSTEM: CLIA
- ID: 05D0988231
|
