PALO ALTO 2 VA MOBILE CLINIC (3879)    INSTITUTION (4)

Name Value
NAME PALO ALTO 2 VA MOBILE CLINIC
STATE CALIFORNIA
STREET ADDR. 1 201 9TH ST
CITY MARINA
ZIP 93933-6039
OFFICIAL VA NAME PALO ALTO 2 VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARINA 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1205227170
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 640QB