| NAME | 
KEARNY MESA VA CLINIC | 
| STATE | 
CALIFORNIA | 
| STREET ADDR. 1 | 
8875 AERO DR | 
| CITY | 
SAN DIEGO | 
| ZIP | 
92123-2251 | 
| OFFICIAL VA NAME | 
KEARNY MESA VA CLINIC | 
| STATUS | 
National | 
| ASSOCIATIONS | 
 | 
| BILLING FACILITY NAME | 
SAN DIEGO 2 VA CLINIC | 
| EFFECTIVE DATE/TIME | 
- 
- 2007-01-08 00:00:00
 
- STATUS:    ACTIVE
 
- NPI:    1629015060
 
 
 
 | 
| TAXONOMY CODE | 
 | 
| LOCATION TIMEZONE | 
PACIFIC | 
| COUNTRY | 
USA | 
| AGENCY CODE | 
VA | 
| POINTER TO AGENCY | 
VA | 
| STATION NUMBER | 
664BY | 
| IDENTIFIER | 
- 
- CODING SYSTEM:    NPI
 
- ID:    1629015060
 
 
- 
- CODING SYSTEM:    VASTANUM
 
- ID:    664BY
 
 
- 
- CODING SYSTEM:    CLIA
 
- ID:    05D0988250
 
 
 
 |