Organization
DEPARTMENT OF VETRANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WAN JONG KIM (RN)
(310) 478-3711
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
337000
CA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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