Organization
VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERG MICHAEL (INPATIENT PHARMACY MANAGER)
(310) 478-3744
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
13935 BURBANK BLVD APT 103, VALLEY GLEN, CA 91401-5078
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
58726
CA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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