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 |
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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 |
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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 |
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Provider Enumeration Date | 10/06/2008 |
Last Update Date | 10/06/2008 |
Identifier | Type | State | Issuer |
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1992956189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | RN306586 (California) | Primary |
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