| Los Angeles County Department Of Mental Health | |
|
11303 W Washington Blvd Los Angeles CA 90066-6003 | |
| (310) 482-6650 | |
| Not Available |
| Full Name | Los Angeles County Department Of Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11303 W Washington Blvd, Los Angeles, California |
| Authorized Official Name and Position | Marvin Southard (DIRECTOR- L.A. COUNTY DMH) |
| Authorized Official Contact | 2137384000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles County Department Of Mental Health 11303 W Washington Blvd Ste 200 Los Angeles CA 90066-6003 Ph: (310) 482-6650 | Los Angeles County Department Of Mental Health 11303 W Washington Blvd Los Angeles CA 90066-6003 Ph: (310) 482-6650 |
| NPI Number | 1215013503 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215013503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW18593 (California) | Primary |
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