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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