Department of Veterans Affairs Medical Center, VA Long Beach Healthcar

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

992011 Issued in CO

Legal business name

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR

Practice address

5901 E 7TH St
Sci, Building 150, Room T-236
Long Beach, CA 90822-5201

Phone

(562) 826-8000

Fax

(562) 826-5718

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Penny R Timmen, LCSWNPI 1801814744

Title

Lincensed Clinical Social Worker

Phone

(562) 826-8000

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Penny R Timmen, LCSW

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1801814744

  Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf)

  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528093697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "address_2": "SCI, BUILDING 150, ROOM T-236",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "address_2": "SCI, BUILDING 150, ROOM T-236",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, VA LONG BEACH HEALTHCAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TIMMEN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LINCENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "562-826-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CO",
            "license": "992011",
            "primary": true
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "CO",
            "license": "992011",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CO",
            "license": "992011",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "992011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eknath Deo, M.D., F.A.C.P.
• Tabare Depaep, ESQ., CD(CAPPA)
• Departmen of Veterans Affair Long Beach Healthcare System
• Department of Mental Health
• Department of Mental Health, Long Beach
• Department of Veterans Affairs, VA Long Beach Healthcare System
• Robert Henry Depass
• Giselle Breanna Depaz
• Susan Jane Depiro
• Kathleen Laraine Deppe, MFT-LICENSED

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.