| Dmh Dhs Collaboration Lomita | |
|
1403 West Lomita Blvd., 2nd Floor, Clinic B Harbor City CA 90710-2076 | |
| (213) 738-3111 | |
| (213) 386-5282 |
| Full Name | Dmh Dhs Collaboration Lomita |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1403 West Lomita Blvd., 2nd Floor, Clinic B, Harbor City, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmh Dhs Collaboration Lomita 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Dmh Dhs Collaboration Lomita 1403 West Lomita Blvd., 2nd Floor, Clinic B Harbor City CA 90710-2076 Ph: (213) 738-3111 |
| NPI Number | 1366853491 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366853491 | NPI | - | NPPES |
| 7892 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Sol Family Counseling Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 24328 Vermont Ave Ste 217, Harbor City, CA 90710 Phone: 310-941-2597 Fax: 855-882-5621 | |
South Bay Bright Future, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 245th St, Harbor City, CA 90710 Phone: 310-891-0096 Fax: 310-891-0195 | |
Sol Community And Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 224, Harbor City, CA 90710 Phone: 310-941-2597 Fax: 855-882-5621 | |
Genesis La Transportation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26201 Ozone Avenue, Harbor City, CA 90710 Phone: 562-449-3878 | |
Personal Involvement Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24404 South Vermont Ave, Suite 200, Harbor City, CA 90710 Phone: 866-508-0311 Fax: 323-778-0485 | |
South Bay Bright Future, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24404 S. Vermont Ave, Suite 201, Harbor City, CA 90710 Phone: 310-891-0096 Fax: 310-891-0195 |