VA Greater Los Angeles Healthcare System

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

VA GREATER LOS ANGELES HEALTHCARE SYSTEM

Practice address

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

Phone

(310) 478-3711

Fax

(310) 268-4781

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Ciccone, MSW

Title

Vced Program Director

Phone

(310) 478-3711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184710147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD # 116AR",
            "address_2": "BLDG 208",
            "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 # 116AR",
            "address_2": "BLDG 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA GREATER LOS ANGELES HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VCED PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-478-3711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia V Estrada, LCSW
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• VA Glahs
• VA Greater la Healthcare System
• VA Greater Los Angeles Healthcare
• VA Greater Los Angeles Healthcare System
• VA Greater Los Angeles Healthcare System, West Los Angeles126
• VA Greater Los Angeles Medical Center
• VA Greater Los Angeles Nuclear Medicine Department
• VA Hospital

• Rehabilitation Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rehabilitation 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.