# DEPARMENT OD VETERANS AFFAIRS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1487805313
- **Authorized official:** MR. MIGUEL ANGEL PINALES SR. (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (202) 745-8626

## Contact information

- **Practice address:** 50 IRVING ST NW, WASHINGTON, DC 20422-0001
- **Practice address phone:** (202) 745-8626
- **Mailing address:** 15520 ALLAIRE DR, GAINESVILLE, VA 20155-4858
- **Mailing address phone:** (703) 754-2237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA28 | DC | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 10/09/2008