Va Greater Los Angeles Healthcare System, West Los Angeles126

NPI 1114026663 - Clinic/Center - 261QV0200X

NPI Details
NPI 1114026663
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GEORGE GEORGE
Position STAFF PHYSICIAN
Phone (310) 268-3924
Fax (310) 312-9478
Practice Location
11301 WILSHIRE BLVD
BUILDING 113, ROOM 324
LOS ANGELES CA, 90073-1003, US
Phone (310) 268-3924
Fax (310) 312-9478
Business Location
11301 WILSHIRE BLVD
BUILDING 113, ROOM 324
LOS ANGELES CA, 90073-1003, US
Phone (310) 268-3924
Fax (310) 312-9478
Toxanomy
Taxonomy Code 261QV0200X
License State California
License Number A054208
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According to our database, Va Greater Los Angeles Healthcare System, West Los Angeles126 NPI is 1114026663, taxonomy code is 261QV0200X and license number is A054208, license state is located at California. Va Greater Los Angeles Healthcare System, West Los Angeles126 physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073-1003. NPI Number 1033115704 has the healthcare provider type.

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1114026663 NPI number is provided on an as is basis without warranty of any kind. 1114026663 is maintained by the National Plan & Provider Enumeration System. The contents of Va Greater Los Angeles Healthcare System, West Los Angeles126 are for informational purposes only.