Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNEIL NINO VERGEL URRIZA R.N., B.S.N. (REGISTERED NURSE)
(562) 537-0823
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
12485 WALSH AVE, APT.6, LOS ANGELES, CA 90066-6666
(562) 537-0823
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
693362
CA
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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