RIO VA CLINIC (3990)    INSTITUTION (4)

Name Value
NAME RIO VA CLINIC
STATE CALIFORNIA
STREET ADDR. 1 8989 RIO SAN DIEGO DR STE 350
CITY SAN DIEGO
ZIP 92108-1605
OFFICIAL VA NAME MISSION GORGE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAN DIEGO VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1265823231
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 664QA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   8989 RIO SAN DIEGO DRIVE, SUITE #360
    CITY (CHANGED FROM):   SAN DIEGO
    STATE (CHANGED FROM):   CALIFORNIA
    ZIP (CHANGED FROM):   92108-1646