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Long Beach Vamc — NPI 1396378030, Gardena, CA | NPI Central

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NPI 1396378030

OrganizationActive

Long Beach Vamc

NPI 1396378030 · VA Clinic/Center · Gardena, CA

Provider details

NPI number: 1396378030
Entity type: Organization
Primary specialty: VA Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Erin Potter, Npi Team Lead(202) 382-2579

Specialties & taxonomies

VA Clinic/CenterPrimary261QV0200X
Ambulatory Health Care Facilities

Practice location

1149 W 190th St Ste 100

Gardena, CA 90248-4321

Phone: (702) 341-3152

Fax: (702) 341-3503

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 94407

Cleveland, OH 44101-4407

Other names (DBA / former)

Other name: Gardena Va Clinic

Registry dates

Enumerated: 2020-02-21
Last updated: 2020-02-21
Certified: 2020-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.