# VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184807505
- **Authorized official:** MR. RONNEIL NINO VERGEL URRIZA R.N., B.S.N. (REGISTERED NURSE)
- **Authorized official phone:** (562) 537-0823

## Contact information

- **Practice address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
- **Practice address phone:** (310) 478-3711
- **Mailing address:** 12485 WALSH AVE, APT.6, LOS ANGELES, CA 90066-6666
- **Mailing address phone:** (562) 537-0823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 693362 | CA | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 12/07/2007
