Organization
VA GREATER LOS ANGELES HEALTHCARE SYSTEM
Active
Organization
VA GREATER LOS ANGELES HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CICCONE MSW (VCED PROGRAM DIRECTOR)
(310) 478-3711
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD # 116AR, BLDG 208, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4781
Mailing address
11301 WILSHIRE BLVD # 116AR, BLDG 208, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4781
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
CA
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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