# DEPARTMENT OF VA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEPARTMENT OF VA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427302017
- **Legal business name:** DEPARTMENT OF VA
- **Authorized official:** MR. VIRGILIO CORTEZ ORENA RN (NURSE)
- **Authorized official phone:** (619) 495-9941

## Contact information

- **Practice address:** 1585 TRAILWOOD AVE, CHULA VISTA, CA 91913-2994
- **Practice address phone:** (619) 495-9941
- **Mailing address:** 1585 TRAILWOOD AVE, CHULA VISTA, CA 91913-2994
- **Mailing address phone:** (619) 495-9941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2012
- **Last updated:** 11/03/2012
