Organization
LONG BEACH VA HEALTHCARE SYSTEM
Active
Organization
LONG BEACH VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HALLOWAY STOCKMAN (SUBSTANCE ABUSE COUNSELOR)
(562) 826-8000
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
555 N GAFFEY ST, APT # 211, SAN PEDRO, CA 90731-1853
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
24815
CA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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