Organization
VA GREATER LOS ANGELES HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN BONANOMI MSN, RN, CARN (NURSE MANAGER O/P MENTAL HEALTH)
(310) 471-3711
Entity
Organization
Contact information
Practice address
13603 S MARIPOSA AVE, GARDENA, CA 90247-2005
(310) 719-7187
Mailing address
13603 S MARIPOSA AVE, GARDENA, CA 90247-2005
(310) 719-7187
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN306586
CA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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