# VA LONG BEACH

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

## Provider details

- **NPI number:** 1801239694
- **Authorized official:** DR. RYAN MATTIE M.D. (HOUSESTAFF COORDINATOR)
- **Authorized official phone:** (215) 518-9324

## Contact information

- **Practice address:** 5901 E 7TH ST, LONG BEACH, CA 90822-5201
- **Practice address phone:** (215) 518-9324
- **Mailing address:** 5901 E 7TH ST, LONG BEACH, CA 90822-5201
- **Mailing address phone:** (215) 518-9324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2013
- **Last updated:** 06/05/2013