Organization
DEPARTMEN OF VETERANS AFFAIR LONG BEACH HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LEANN LAWRENCE (NURSING ASSISTANT)
(323) 535-0700
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
1436 W 55TH ST, LOS ANGELES, CA 90062-2810
(323) 535-0700
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00477119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00477119
CA DEPARTMEN OF PUBLIC HEALTH
CA
Enumeration date
04/22/2016
Last updated
04/22/2016
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