SAN DIEGO VA MOBILE CLINIC (4635) INSTITUTION (4)

Name	Value
NAME	SAN DIEGO VA MOBILE CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	3350 LA JOLLA VILLAGE DR
CITY	SAN DIEGO
ZIP	92161-0002
OFFICIAL VA NAME	SAN DIEGO VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: SAN DIEGO HCS
BILLING FACILITY NAME	SAN DIEGO VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-27 00:00:00 STATUS: ACTIVE NPI: 1164201349
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	664QB
HISTORY