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NPI Code Detail

MEDICARE: WEST LOS ANGELES VAMC

MEDICARE: WEST LOS ANGELES VAMC
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
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10566820OTHERCANCPDP#

General Provider Information

NPI Number : 1427006634
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST LOS ANGELES VAMC
Provider Business Mailing Address
First Line : PO BOX 94424
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4424
Country : US
Telephone Number : 702-341-3152
Fax Number :
Provider Business Practice Location Address
First Line : 1801 WESTWIND DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3028
Country : US
Telephone Number : 310-268-3152
Fax Number : 310-268-4959
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN DENISE POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/03/2018

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Directions to “WEST LOS ANGELES VAMC ” Practice Location

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