Va Greater Los Angeles Medical Center

NPI 1952496572 - Rehabilitation Hospital - 283X00000X

NPI Details
NPI 1952496572
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK WALLACE MARK
Position KINESIOTHERAPIST
Phone (310) 478-3711
Fax
Practice Location
11301 WILSHIRE BLVD
LOS ANGELES CA, 90073, US
Phone (310) 478-3711
Fax
Business Location
12122 EXCELSIOR DRIVE
NORWALK CA, 90650, US
Phone (562) 863-6315
Fax
Toxanomy
Taxonomy Code 283X00000X
License State California
License Number 1031
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According to our database, Va Greater Los Angeles Medical Center NPI is 1952496572, taxonomy code is 283X00000X and license number is 1031, license state is located at California. Va Greater Los Angeles Medical Center physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073. NPI Number 1033115704 has the healthcare provider type.

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1952496572 NPI number is provided on an as is basis without warranty of any kind. 1952496572 is maintained by the National Plan & Provider Enumeration System. The contents of Va Greater Los Angeles Medical Center are for informational purposes only.