Organization · Type 2 NPI

Long Beach Vamc

VA Clinic/Center · Gardena, CA

NPI number 1396378030 Active

Practice location

1141 W Redondo Beach Blvd Ste 212
Gardena, CA 90247-3584

Fax (702) 341-3503

Mailing address

PO Box 94407
Cleveland, OH 44101-4407

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

Another provider at this address

About NPI 1396378030

Long Beach Vamc's National Provider Identifier is 1396378030, issued on Feb 21, 2020. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Gardena, CA. The record was last updated on Oct 29, 2026.