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NPI Code Detail

MEDICARE: DEPT OF VETERANS AFFAIRS

MEDICARE: DEPT OF VETERANS AFFAIRS
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
1286500000XMilitary HospitalCSW0000006383TN

General Provider Information

NPI Number : 1063522431
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPT OF VETERANS AFFAIRS
Provider Business Mailing Address
First Line : 11301 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number : 310-268-4398
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD
Second Line : BLDG 500
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number : 310-268-4398
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : MS. ANNETTE M WEARY
Credential : CMSW
Telephone Number : 310-478-3711
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/08/2008

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Directions to “DEPT OF VETERANS AFFAIRS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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