Organization
LONG BEACH VAMC
Active
Other names
GARDENA VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM LEAD)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1149 W 190TH ST STE 100, GARDENA, CA 90248-4321
(702) 341-3152
(702) 341-3503
Mailing address
PO BOX 94407, CLEVELAND, OH 44101-4407
(702) 341-3152
(702) 341-3503
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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