MEDICARE: LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154337418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Provider Business Mailing Address
First Line	:	510 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1992
Country	:	US
Telephone Number	:	213-738-4601
Fax Number	:	213-386-1297

Provider Business Practice Location Address
First Line	:	1441 SANTA ANITA AVE
Second Line	:
City	:	SOUTH EL MONTE
State	:	CA
Zip	:	91733-3311
Country	:	US
Telephone Number	:	626-258-3002
Fax Number	:	626-258-3020

Authorized Official
Title or Position	:	ACTING DIRECTOR
Name	:	LISA H. WONG
Credential	:	PSY.D.
Telephone Number	:	213-738-4601

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/25/2022

Similar Medicare Providers

1588482194 — REBECA BANUELOS
Practice Location Address:

1441 SANTA ANITA AVE
EL MONTE, CA
91733-3311

Practice Phone: 626-646-6866
Practice Fax:

1821801275 — JOY LICON
Practice Location Address:

1441 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3311

Practice Phone: 626-575-5425
Practice Fax:

1518897669 — EAST BAY INTEGRATIVE MARRIAGE AND FAMILY THERAPY GROUP INC
Practice Location Address:

707 SEA VIEW DR
EL CERRITO, CA
94530-3311

Practice Phone: 510-468-9344
Practice Fax:

1780417972 — TALYA YEIRA STRAUSS
Practice Location Address:

707 SEA VIEW DR
EL CERRITO, CA
94530-3311

Practice Phone: 510-468-9344
Practice Fax:

1285572040 — SOUTHWOOD MEDICAL TRANSPORT LLC
Practice Location Address:

3311 CRAIGO AVE
EL PASO, TX
79904-1003

Practice Phone: 877-216-1977
Practice Fax:

1174504203 — PRUITTHEALTH - ESTILL, LLC
Practice Location Address:

252 LIBERTY STREET SOUTH
ESTILL, SC
29918-3311

Practice Phone: 803-625-3852
Practice Fax: 803-625-2441

Directions to “LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.