# VA GREATER LOS ANGELES NUCLEAR MEDICINE DEPARTMENT

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

## Provider details

- **NPI number:** 1962789230
- **Authorized official:** CHIAYI NI MD (RESIDENT PHYSICIAN)
- **Authorized official phone:** (310) 478-3711

## Contact information

- **Practice address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
- **Practice address phone:** (310) 478-3711
- **Mailing address:** 11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 11/21/2013