| Organization Name: | VA LONGBEACH MEDICAL CENTER |
| NPI Number: | 1053789164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | APPOLLINAIRE FUNWIE (REGISTERED NURSE) |
| Mailing Address: | 14118 Cordary Ave Apt 22 Hawthorne |
| State: | CA US |
| Postal Code: | 902508074 |
| Phone Number: | 3104849108 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2015 |
| NPI Last Update Date: | 09/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 995033213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |