Organization
LONG BEACH VAMC
Active
Organization
LONG BEACH VAMC
Active
Other names
LAGUNA HILLS VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
23719 MOULTON PKWY, LAGUNA HILLS, CA 92653-1913
(702) 341-3152
Mailing address
PO BOX 94407, CLEVELAND, OH 44101-4407
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
05/02/2019
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