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Organization
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY R TIMMEN LCSW (LINCENSED CLINICAL SOCIAL WORKER)
(562) 826-8000
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718
Mailing address
5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
992011
CO
261QV0200X
VA Clinic/Center
992011
CO
273Y00000X
Rehabilitation Hospital Unit
992011
CO
282N00000X
General Acute Care Hospital
992011
CO
Other
Enumeration date
07/11/2006
Last updated
09/11/2025
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