# LONG BEACH VETERANS ADMINISTRATION MEDICAL CENTER

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

## Provider details

- **NPI number:** 1578718268
- **Authorized official:** MICHELLE ANN BOLLING R.N. (R.N./INTERMITTENT STAFF R.N.)
- **Authorized official phone:** (562) 826-8000

## Contact information

- **Practice address:** 6317 SEABORN ST, LAKEWOOD, CA 90713-2617
- **Practice address phone:** (310) 291-6973
- **Practice address fax:** (562) 420-6125
- **Mailing address:** 6317 SEABORN ST, LAKEWOOD, CA 90713-2617
- **Mailing address phone:** (310) 291-6973
- **Mailing address fax:** (562) 420-6125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 467492 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/21/2008
