Organization
VA GREATER LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVANGELINA LIGONS LCSW (SOCIAL WORKER)
(310) 478-3711
Entity
Organization
Contact information
Practice address
946 CALLE BRUSCA, THOUSAND OAKS, CA 91360-2327
(208) 421-0457
(805) 375-1368
Mailing address
946 CALLE BRUSCA, THOUSAND OAKS, CA 91360
(208) 421-0457
(805) 375-1368
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/02/2008
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