SONORA VA CLINIC (612GL) (4603) INSTITUTION (4)

Name	Value
NAME	SONORA VA CLINIC (612GL)
STATE	CALIFORNIA
STREET ADDR. 1	13663 MONO WAY
CITY	SONORA
ZIP	95370-2811
OFFICIAL VA NAME	SONORA VA CLINIC (612GL)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SACRAMENTO VA MEDICAL CENTER
BILLING FACILITY NAME	SONORA VA CLINIC
EFFECTIVE DATE/TIME	2022-10-04 00:00:00 STATUS: ACTIVE NPI: 1578288171
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	612GL
HISTORY