LONG BEACH VAMC NPI 1396378030

NPI Information

  • NPI: 1396378030
  • Provider Name: LONG BEACH VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Address: 1149 W 190TH ST STE 100
    GARDENA, CA
    ZIP 90248
  • Phone: (702) 341-3152

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NPI Details

LONG BEACH VAMC is a va clinic center in Gardena, CA. LONG BEACH VAMC NPI is 1396378030. The provider is registered as an organization entity type.

The provider's business location address is:

1149 W 190TH ST STE 100
GARDENA, CA
ZIP 90248-321
Phone: (702) 341-3152
Fax: (702) 341-3503

The provider's authorized official is Erin Denise Potter .
The authorized official title is Npi Team Lead and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 2/21/2020.

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
1261QV0200XClinic/CenterVAYes

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: 11/21/2025

NPI Synchronization or Removal

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