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DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER VA LONG BEACH HEALTHCAR NPI 1528093697


NPI Information

NPI: 1528093697
Provider Name: DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
5901 E 7TH ST
SCI, BUILDING 150, ROOM T-236
LONG BEACH, CA
ZIP 90822
Phone: (562) 826-8000
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DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Long Beach, CA. DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR NPI is 1528093697. The provider is registered as an organization entity type.

The provider's business location address is:

5901 E 7TH ST
SCI, BUILDING 150, ROOM T-236
LONG BEACH, CA
ZIP 90822-201
Phone: (562) 826-8000
Fax: (562) 826-5718

The provider's authorized official is Penny R Timmen .
The authorized official title is Lincensed Clinical Social Worker and has the following contact phone number (562) 826-8000.

The enumeration date for this NPI number is 7/11/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)992011COLORADOYes
2261QV0200XClinic/CenterVA992011COLORADOX
3273Y00000XRehabilitation Unit992011COLORADOX
4282N00000XGeneral Acute Care Hospital992011COLORADOX

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

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