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Organization

VA LONGBEACH MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
APPOLLINAIRE FUNWIE RN (REGISTERED NURSE)
(310) 484-9108
Entity
Organization

Contact information

Practice address
14118 CORDARY AVE APT 22, HAWTHORNE, CA 90250-8074
(310) 484-9108
Mailing address
14118 CORDARY AVE APT 22, HAWTHORNE, CA 90250-8074
(310) 484-9108

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
995033213
CA

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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