# VAMC LONG BEACH

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

## Provider details

- **NPI number:** 1801996665
- **Authorized official:** MR. ROBERT A GARDIA RRT (RESPIRATORY THERAPIST)
- **Authorized official phone:** (562) 826-5843

## Contact information

- **Practice address:** 4725 HAYTER AVE, LAKEWOOD, CA 90712-3508
- **Practice address phone:** (562) 429-7440
- **Mailing address:** 4725 HAYTER AVE, LAKEWOOD, CA 90712-3508
- **Mailing address phone:** (562) 429-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 00000216 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020