# V.A. LONG BEACH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417304445
- **Legal business name:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Authorized official:** DR. MANUEL PORTO M.D. (PRESIDENT)
- **Authorized official phone:** (714) 456-2986

## Contact information

- **Practice address:** 5901 E 7TH ST, LONG BEACH, CA 90822-5201
- **Practice address phone:** (714) 456-6699
- **Practice address fax:** (855) 209-8413
- **Mailing address:** PO BOX 512347, LOS ANGELES, CA 90051-0347
- **Mailing address phone:** (714) 456-3856
- **Mailing address fax:** (714) 456-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2016
- **Last updated:** 05/19/2016