Organization
WEST LOS ANGELES VAMC
Active
Other names
LOS ANGELES VA CBOC METHADONE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(310) 268-3152
Mailing address
PO BOX 94424, CLEVELAND, OH 44101-4424
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539152
NCPDP#
CA
Enumeration date
05/05/2006
Last updated
04/03/2018
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