Organization
DEFENSE FINANCE & ACTG SERV
Active
Other names
West Los Angeles Veteran Affairs
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE THIBODEAUX-JACKSON LCSW (SUPERVISOR)
(310) 346-9582
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
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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