Organization
VA HOSPITAL - LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANDER J DALE JR. LMSW, LCAC (SOCIAL WORKER)
(562) 826-8470
Entity
Organization
Contact information
Practice address
2090 RIVER AVENUE, LONG BEACH, CA 90810
(562) 826-8470
(562) 826-8485
Mailing address
5901 EAST 7TH ST., LONG BEACH, CA 90822
(562) 826-8000
(562) 826-8485
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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