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NPI Code Detail

MEDICARE: U.S. DEPARTMENT OF VETERAN'S AFFAIRS

MEDICARE: U.S. DEPARTMENT OF VETERAN'S 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 HospitalASW28982CA

General Provider Information

NPI Number : 1609243534
Entity Type Code : Organization
Provider Name (Legal Business Name) : U.S. DEPARTMENT OF VETERAN'S AFFAIRS
Provider Business Mailing Address
First Line : 11301 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-405-5872
Fax Number :
Authorized Official
Title or Position : SOCIAL WORKER
Name : CARI MAY CLARK
Credential : MSW
Telephone Number : 310-405-5872
Provider Enumeration Date : 08/26/2015
Last Update Date : 08/26/2015

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Directions to “U.S. DEPARTMENT OF VETERAN'S AFFAIRS ” Practice Location

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