ZZ-PALO ALTO 1 VA MOB CLNC (3878) INSTITUTION (4)

Name	Value
NAME	ZZ-PALO ALTO 1 VA MOB CLNC
STATE	CALIFORNIA
STREET ADDR. 1	795 WILLOW ROAD, BLDG 321, RM C116
CITY	MENLO PARK
ZIP	94025-2539
OFFICIAL VA NAME	ZZ-PALO ALTO 1 VA MOB CLNC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	PALO ALTO 1 VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1396136263 2024-01-23 00:00:00 STATUS: INACTIVE NPI: 1396136263
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	640QA