SORRENTO VALLEY VA CLINIC (4497) INSTITUTION (4)

Name	Value
NAME	SORRENTO VALLEY VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	10455 SORRENTO VALLEY RD STE 210
CITY	SAN DIEGO
ZIP	92121-1622
OFFICIAL VA NAME	SORRENTO VALLEY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: SAN DIEGO HCS
BILLING FACILITY NAME	SAN DIEGO 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-08-22 00:00:00 STATUS: ACTIVE NPI: 1073196754
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	664GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 05D2081448