# VETERANS AFFAIRS HEALTHCARE SYSTEM

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

## Provider details

- **NPI number:** 1871686550
- **Authorized official:** MS. CHANDA NICOLE SIMON MHA, RKT (REGISTERED KINESIOTHERAPIST)
- **Authorized official phone:** (323) 478-3711

## Contact information

- **Practice address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073
- **Practice address phone:** (310) 478-3711
- **Mailing address:** 8839 ORCHARD AVE, LOS ANGELES, CA 90044
- **Mailing address phone:** (323) 971-1338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 1672 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020