# VA HEALTHCARE SYSTEM

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

## Provider details

- **NPI number:** 1376887331
- **Authorized official:** MRS. LESLIE AMANDA LANGLEY FNP (RN)
- **Authorized official phone:** (310) 478-3711

## Contact information

- **Practice address:** 3009 WAUKEGAN AVE, SIMI VALLEY, CA 93063-1622
- **Practice address phone:** (310) 493-7645
- **Mailing address:** 3009 WAUKEGAN AVE, SIMI VALLEY, CA 93063-1622
- **Mailing address phone:** (310) 493-7645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 658956 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012