# VA GREATER LOS ANGELES

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

## Provider details

- **NPI number:** 1871797829
- **Authorized official:** MS. EVANGELINA LIGONS LCSW (SOCIAL WORKER)
- **Authorized official phone:** (310) 478-3711

## Contact information

- **Practice address:** 946 CALLE BRUSCA, THOUSAND OAKS, CA 91360-2327
- **Practice address phone:** (208) 421-0457
- **Practice address fax:** (805) 375-1368
- **Mailing address:** 946 CALLE BRUSCA, THOUSAND OAKS, CA 91360
- **Mailing address phone:** (208) 421-0457
- **Mailing address fax:** (805) 375-1368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 07/02/2008