MEDICARE: VOLUNTEERS OF AMERICA OF LOS ANGELES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1285393892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AMERICA OF LOS ANGELES

Provider Business Mailing Address
First Line	:	3600 WILSHIRE BLVD STE 1500
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2619
Country	:	US
Telephone Number	:	213-389-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 N BULLIS RD
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-2209
Country	:	US
Telephone Number	:	714-615-8658
Fax Number	:

Authorized Official
Title or Position	:	GRANT ADMINISTRATOR
Name	:	MR. JASPER DO
Credential	:
Telephone Number	:	213-251-7668

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	12/13/2021

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Directions to “VOLUNTEERS OF AMERICA OF LOS ANGELES ” Practice Location

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