NPI 1275843732

United States Air Force

Organisation Military Hospital Los Angeles, CA

Practice location

Address: 11075 Santa Monica Blvd STE 300, Los Angeles, CA 90025-7540
Phone: (310) 481-5089
Mailing address: 10333 Camino Ruiz APT 39, San Diego, CA 92126-3284

Authorised official

Name: Sarah Emma Thompson
Title: Psychologist (student)
Phone: (310) 481-5089

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

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Registry record

NPI: 1275843732
Entity type: Organization
NPI issued: 18 Oct 2010
Record last updated: 18 Oct 2010

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.