# U.S. DEPARTMENT OF VETERAN'S AFFAIRS

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

## Provider details

- **NPI number:** 1609243534
- **Authorized official:** CARI MAY CLARK MSW (SOCIAL WORKER)
- **Authorized official phone:** (310) 405-5872

## Contact information

- **Practice address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
- **Practice address phone:** (310) 405-5872
- **Mailing address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | ASW28982 | CA | Yes |

## Other

- **Enumeration date:** 08/26/2015
- **Last updated:** 08/26/2015