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DEPT. OF VETERAN'S AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE VALDEZ (PHARMACY MANAGER)
(310) 478-3711
Entity
Organization

Contact information

Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
8629 IMPERIAL HWY, #125, DOWNEY, CA 90242-3953
(562) 381-2495

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary

Other

Enumeration date
04/17/2014
Last updated
04/17/2014
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