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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