# DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR

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

## Provider details

- **NPI number:** 1528093697
- **Authorized official:** MRS. PENNY R TIMMEN LCSW (LINCENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (562) 826-8000

## Contact information

- **Practice address:** 5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
- **Practice address phone:** (562) 826-8000
- **Practice address fax:** (562) 826-5718
- **Mailing address:** 5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
- **Mailing address phone:** (562) 826-8000
- **Mailing address fax:** (562) 826-5718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 992011 | CO | Yes |
| 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