Organization
VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE AMANDA LANGLEY FNP (RN)
(310) 478-3711
Entity
Organization
Contact information
Practice address
3009 WAUKEGAN AVE, SIMI VALLEY, CA 93063-1622
(310) 493-7645
Mailing address
3009 WAUKEGAN AVE, SIMI VALLEY, CA 93063-1622
(310) 493-7645
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
658956
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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