Organization Active NPI

VA Greater Los Angeles Healthcare System, West Los Angeles126

  • VA Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1114026663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
A054208 Issued in CA
Legal business name
VA GREATER LOS ANGELES HEALTHCARE SYSTEM, WEST LOS ANGELES126
Practice address
11301 Wilshire Blvd
Building 113, Room 324
Los Angeles, CA 90073-1003
Phone
(310) 268-3924
Fax
(310) 312-9478
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Sachs, M.D., D.SC.
Title
Staff Physician
Phone
(310) 268-3923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X A054208 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
Building 113, Room 324
Los Angeles, CA 90073-1003

Mailing address

11301 Wilshire Blvd
Building 113, Room 324
Los Angeles, CA 90073-1003
Phone (310) 268-3924

National Provider Directory

National Provider Directory

Locations

11301 Wilshire Blvd
Bldg 113
Los Angeles, CA 90073
Phone (310) 268-3924

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114026663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "BUILDING 113, ROOM 324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-268-3924",
            "fax_number": "310-312-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "BUILDING 113, ROOM 324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-268-3924",
            "fax_number": "310-312-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA GREATER LOS ANGELES HEALTHCARE SYSTEM, WEST LOS ANGELES126",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SACHS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "310-268-3923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.SC."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "CA",
            "license": "A054208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.