VA Longbeach Medical Center

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

995033213 Issued in CA

Legal business name

VA LONGBEACH MEDICAL CENTER

Practice address

14118 Cordary Ave Apt 22
Hawthorne, CA 90250-8074

Phone

(310) 484-9108

NPI assigned

Sep 4, 2015

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Appollinaire Funwie, RN

Title

Registered Nurse

Phone

(310) 484-9108

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1053789164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 CORDARY AVE APT 22",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508074",
            "telephone_number": "310-484-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14118 CORDARY AVE APT 22",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508074",
            "telephone_number": "310-484-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LONGBEACH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "FUNWIE",
        "authorized_official_first_name": "APPOLLINAIRE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "310-484-9108",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CA",
            "license": "995033213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Lauren Urena
• Angela Uzondu
• Fayegh Vakili, M.D.
• Andrea Valadez, M.D.
• Valentin Hernandez, MD. Inc.
• Nadia Valiyee, RDH
• Gregory Vanepps, D.O.

• Rural Acute Care Hospital in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Rural Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.