# VA HOSPITAL

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

## Provider details

- **NPI number:** 1558470203
- **Authorized official:** MR. SAMUSIDEEN ENIGBOKAN NURSING (REGISTERED NURSE)
- **Authorized official phone:** (213) 253-2677

## Contact information

- **Practice address:** 351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
- **Practice address phone:** (213) 253-2677
- **Mailing address:** 3507 FLORESTA AVE, LOS ANGELES, CA 90043-1850
- **Mailing address phone:** (323) 228-9631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020