| Los Angeles County Department Of Mental Health | |
|
12021 Wilmington Ave, 5th Floor Los Angeles CA 90059-3019 | |
| (213) 392-1639 | |
| Not Available |
| Full Name | Los Angeles County Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12021 Wilmington Ave, 5th Floor, Los Angeles, California |
| Authorized Official Name and Position | Lisa H Wong (DIRECTOR) |
| Authorized Official Contact | 2139476670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles County Department Of Mental Health 510 S Vermont Ave Los Angeles CA 90020-1912 Ph: (213) 947-6670 | Los Angeles County Department Of Mental Health 12021 Wilmington Ave, 5th Floor Los Angeles CA 90059-3019 Ph: (213) 392-1639 |
| NPI Number | 1538996475 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538996475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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