# VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1881931236
- **Authorized official:** DAGOBERG MICHAEL (INPATIENT PHARMACY MANAGER)
- **Authorized official phone:** (310) 478-3744

## Contact information

- **Practice address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
- **Practice address phone:** (310) 478-3711
- **Mailing address:** 13935 BURBANK BLVD APT 103, VALLEY GLEN, CA 91401-5078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 58726 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2013
- **Last updated:** 01/04/2013