DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA NPI 1912278003

NPI Information

DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA is a long term care pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA NPI is 1912278003. The provider is registered as an organization entity type.
The provider Is Doing Business As Cdva Veterans Home Of California West Los Angeles.

The provider's business location address is:

11500 NIMITZ AVE STE D301
LOS ANGELES, CA
ZIP 90049-566
Phone: (424) 832-8520
Fax: (424) 832-8315

The provider's authorized official is Stanley Nomura .
The authorized official title is Pharmacy Manager and has the following contact phone number (424) 832-8314.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 4/20/2017.

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:

Other Identifiers

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

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