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
1	332100000X	Department of Veterans Affairs (VA) Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0569713	OTHER	CA	NCPDP#

General Provider Information

NPI Number	:	1396793428
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	:	351 E TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3328
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

Similar Medicare Providers

1235187683 — WEST LOS ANGELES VAMC
Practice Location Address:

351 E TEMPLE ST
LOS ANGELES, CA
90012-3328

Practice Phone: 310-268-3152
Practice Fax:

1679524730 — KIMBERLY ANN GUSTOVICH M.A., CCC-A
Practice Location Address:

351 E TEMPLE ST
LOS ANGELES, CA
90012-3328

Practice Phone: 213-253-2677
Practice Fax:

1053368548 — MR. JOEL STOUP LCSW
Practice Location Address:

351 E TEMPLE ST
LOS ANGELES, CA
90012-3328

Practice Phone: 213-253-2677
Practice Fax: 213-253-5046

1598704264 — DR. GARY ROBERT WOLFE PH.D.
Practice Location Address:

351 E TEMPLE ST , DVA LOS ANGELES OUTPATIENT CLINIC
LOS ANGELES, CA
90012-3328

Practice Phone: 213-253-5186
Practice Fax: 213-253-5041

1861432437 — WEST LOS ANGELES VAMC
Practice Location Address:

351 E TEMPLE ST
LOS ANGELES, CA
90012-3328

Practice Phone: 702-341-3152
Practice Fax:

1184665754 — MR. CARL LEW WONG LCSW
Practice Location Address:

351 E TEMPLE ST , 11C
LOS ANGELES, CA
90012-3328

Practice Phone: 213-253-2677
Practice Fax: 213-253-5149

Directions to “WEST LOS ANGELES VAMC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.