LONG BEACH VA MOBILE CLINIC (3733)    INSTITUTION (4)

Name Value
NAME LONG BEACH VA MOBILE CLINIC
STATE CALIFORNIA
STREET ADDR. 1 5901 E 7TH STREET
CITY LONG BEACH
ZIP 90822-5201
OFFICIAL VA NAME LONG BEACH VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LONG BEACH VA MOBILE OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1386041754
  • 2021-02-17 00:00:00
    STATUS:   INACTIVE
    NPI:   1386041754
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 600QB