Organization
VETERANS AFFAIRS HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANDA NICOLE SIMON MHA, RKT (REGISTERED KINESIOTHERAPIST)
(323) 478-3711
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
8839 ORCHARD AVE, LOS ANGELES, CA 90044
(323) 971-1338
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
1672
CA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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