Organization · Type 2 NPI
Va Greater Los Angeles Healthcare System, West Los Angeles126
VA Clinic/Center · Los Angeles, CA
NPI number
1114026663
Active
Practice location
11301 Wilshire Blvd, Building 113, Room 324
Los Angeles, CA 90073-1003
Fax (310) 312-9478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | A054208 (CA) |
VA Clinic/Center: Definition to come...
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About NPI 1114026663
Va Greater Los Angeles Healthcare System, West Los Angeles126's National Provider Identifier is 1114026663, issued on Sep 21, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2020.