Organization
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY R TIMMEN LCSW (LINCENSED CLINICAL SOCIAL WORKER)
(562) 826-8000
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718
Mailing address
5901 E 7TH ST, SCI, BUILDING 150, ROOM T-236, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
992011
CO
261QV0200X
VA Clinic/Center
992011
CO
273Y00000X
Rehabilitation Hospital Unit
992011
CO
282N00000X
General Acute Care Hospital
992011
CO
Other
Enumeration date
07/11/2006
Last updated
09/11/2025
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