Organization
LONG BEACH VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY GENE WALL CRTT (CERTIFIED RESPIRATORY THERAPIST)
(562) 826-8000
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
10182 LAMPSON AVE, GARDEN GROVE, CA 92840-4715
(714) 530-7283
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
DISCONTINUED
CA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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