| NPI | 1912278003 |
|---|---|
| Doing Business As | CDVA VETERANS HOME OF CALIFORNIA WEST LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | STANLEY NOMURA Pharmacy Manager 424-832-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHE50771) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2017-04-20 |