VADOM MENLO PARK (752)    INSTITUTION (4)

Name Value
NAME VADOM MENLO PARK
STATE CALIFORNIA
STREET ADDR. 1 795 WILLOW ROAD
CITY MENLO PARK
ZIP 94025-2539
OFFICIAL VA NAME VADOM MENLO PARK
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MENLO PARK VA CARE SITE
EFFECTIVE DATE/TIME
  • 2015-09-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1407216880
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 640BU
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   640BU