Long Beach Vamc

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

DISCONTINUED Issued in CA

Legal business name

LONG BEACH VAMC

Practice address

5901 E 7TH St
Long Beach, CA 90822-5201

Phone

(562) 826-8000

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Gene Wall, CRTT

Title

Certified Respiratory Therapist

Phone

(562) 826-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1306090824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10182 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404715",
            "telephone_number": "714-530-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "562-826-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "DISCONTINUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach VA
• Long Beach VA Healthcare System
• Long Beach VA Medical Center
• Long Beach Vamc
• Long Beach Vamc
• Long Beach Vamc
• Long Beach Vamc
• Long Beach Wellness Medical PC
• Long Beach-Bixby Knolls Medical Clinic, Inc
• Bonnie J Long, M.F.T.

• Rehabilitation Hospital in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.