| Va Greater Los Angeles Healthcare System | |
|
13603 S Mariposa Ave Gardena CA 90247-2005 | |
| (310) 719-7187 | |
| Not Available |
| Full Name | Va Greater Los Angeles Healthcare System |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 13603 S Mariposa Ave, Gardena, California |
| Authorized Official Name and Position | Helen Bonanomi (NURSE MANAGER O/P MENTAL HEALTH) |
| Authorized Official Contact | 3104713711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va Greater Los Angeles Healthcare System 13603 S Mariposa Ave Gardena CA 90247-2005 Ph: (310) 719-7187 | Va Greater Los Angeles Healthcare System 13603 S Mariposa Ave Gardena CA 90247-2005 Ph: (310) 719-7187 |
| NPI Number | 1992956189 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992956189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | RN306586 (California) | Primary |
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