NPI 1184710147
VA Greater Los Angeles Healthcare System
Practice location
- Address
- 11301 Wilshire Blvd # 116ar Bldg 208, Los Angeles, CA 90073-1003
- Phone
- (310) 478-3711
- Fax
- (310) 268-4781
Authorised official
- Name
- Joseph Ciccone
- Title
- Vced Program Director
- Phone
- (310) 478-3711
Registered specialties
Rehabilitation Hospital
Primary
Registry record
- NPI
- 1184710147
- Entity type
- Organization
- NPI issued
- 5 Oct 2006
- Record last updated
- 22 Aug 2020
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.