VA Wla Healthcare Center

Primary specialty

Special HospitalTaxonomy code 284300000X

License

6452 Issued in CA

Legal business name

VA WLA HEALTHCARE CENTER

Practice address

11301 Wilshire Blvd
116Ar BLDG 208 RM 129
Los Angeles, CA 90073-1003

Phone

(310) 478-3711

Fax

(310) 268-4781

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Carol Stein, OTR

Title

Chief Occupational Therapist

Phone

(310) 478-3711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114050309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "116AR BLDG 208 RM 129",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "116AR BLDG 208 RM 129",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA WLA HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "310-478-3711",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Special Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Special Hospital in California

• 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.