Organization · Type 2 NPI
Va Greater Los Angeles Health Care System
Community Health Clinic/Center · Pacific Palisades, CA
NPI number
1114037017
Active
Practice location
16820 Edgar St
Pacific Palisades, CA 90272-3227
Fax (310) 268-4086
Mailing address
11301 Wilshire Blvd Bldg 500 Room 3209
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | C51537 (CA) |
Community Health Clinic/Center: Definition to come...
About NPI 1114037017
Va Greater Los Angeles Health Care System's National Provider Identifier is 1114037017, issued on Aug 30, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Pacific Palisades, CA. The record was last updated on Aug 22, 2020.