Active NPI
VA Glahs
- Multi-Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1174601058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 482522
- Legal business name
- VA GLAHS
- Practice address
- 11301 Wilshire Blvd
BLDG 500 Room 6208
Los Angeles, CA 90073-1003 - Phone
- (310) 478-3711
- Fax
- (310) 268-4038
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barbara Lynn Kennedy, ND, ACRN, BC, FNP
- Title
- Nurse Practitioner
- Phone
- (310) 478-3711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 482522 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
BLDG 500 Room 6208
Los Angeles, CA 90073-1003
Mailing address
21917 Lopez St
Woodland Hills, CA 91364-3121
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Registered Nurse
- Los Angeles, CA
- NPI 1821165622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174601058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21917 LOPEZ ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913643121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "BLDG 500 ROOM 6208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-478-3711",
"fax_number": "310-268-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA GLAHS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "310-478-3711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, ACRN, BC, FNP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "482522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Eleni Eliza Uzunyan, MD
- Merujan Y Uzunyan
- V & G Medical Suppy, Inc
- Sophia V Estrada, LCSW
- V-Solutions Consulting, LLC
- VA Greater la Healthcare System
- VA Greater Los Angeles Healthcare
- VA Greater Los Angeles Healthcare System
- VA Greater Los Angeles Healthcare System
- VA Greater Los Angeles Healthcare System, West Los Angeles126
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.