GARDENA VA CLINIC (4459) INSTITUTION (4)

Name	Value
NAME	GARDENA VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	1149 WEST 190th STREET
STREET ADDR. 2	SUITE 100
CITY	GARDENA
ZIP	90248-4321
OFFICIAL VA NAME	GARDENA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: LONG BEACH VAMC
BILLING FACILITY NAME	GARDENA VA CLINIC
EFFECTIVE DATE/TIME	2020-02-24 00:00:00 STATUS: ACTIVE NPI: 1396378030
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	600GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 05D1009639