Organization
VA LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MATTIE M.D. (HOUSESTAFF COORDINATOR)
(215) 518-9324
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(215) 518-9324
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(215) 518-9324
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
06/05/2013
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