DEPARTMENT OF VETERANS AFFAIRS VA LONG BEACH HEALTHCARE SYSTEM NPI 1225063704

NPI Information

NPI: 1225063704
Provider Name: DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
5901 E 7TH ST
SCI/D 07/128
LONG BEACH, CA
ZIP 90822
Phone: (562) 826-5759
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DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM is a va clinic center in Long Beach, CA. DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM NPI is 1225063704. The provider is registered as an organization entity type.

The provider's business location address is:

5901 E 7TH ST
SCI/D 07/128
LONG BEACH, CA
ZIP 90822-201
Phone: (562) 826-5759
Fax: (562) 826-5718

The provider's authorized official is Nancy J Lundberg .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (562) 826-5759.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA	LCS19256	CALIFORNIA	Yes
2	273Y00000X	Rehabilitation Unit		LCS19256	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V010100	OTHER	CALIFORNIA	SOCIAL WORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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