| Organization Name: | VA NORTHERN CALIFORNIA |
| NPI Number: | 1457714362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HYEON HYE KANG (PHARMACY RESIDENT) |
| Mailing Address: | 10535 Hospital Way Mather |
| State: | CA US |
| Postal Code: | 956554200 |
| Phone Number: | 9168437000 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2016 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 5302041049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |