TWENTY FIRST STRT VA CLN-662QA (3975)    INSTITUTION (4)

Name Value
NAME TWENTY FIRST STRT VA CLN-662QA
STATE CALIFORNIA
STREET ADDR. 1 525 21ST ST
CITY OAKLAND
ZIP 94612-1605
OFFICIAL VA NAME TWENTY FIRST STREET VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OAKLAND 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE
    NPI:   1538737317
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 662QA