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
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None 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.