NPI 1164958518

New Directions for Veterans

Organisation Preferred Provider Organization Los Angeles, CA

Practice location

Address: 11303 Wilshire Blvd Bldg #116, Los Angeles, CA 90073
Phone: (310) 914-4045
Fax: (310) 914-5495
Mailing address: 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069

Authorised official

Name: Dana R Hernandez
Title: Clinical Services Coordinator
Phone: (310) 914-4045

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1164958518
Entity type: Organization
NPI issued: 4 May 2017
Record last updated: 4 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.