Organization Name: | VA GREATER LOS ANGELES HEALTH CARE SYSTEM |
NPI Number: | 1114037017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FATMA KHAWAJA BATUMAN (MEDICAL DIRECTOR, WOMEN'S HEALTH) |
Mailing Address: | 16820 Edgar St Pacific Palisades |
State: | CA US |
Postal Code: | 902723227 |
Phone Number: | 3104592597 |
Fax Number: | 3102684086 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | C51537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |