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	:	1538689005
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	:

Provider Business Practice Location Address
First Line	:	9160 LOYOLA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3576
Country	:	US
Telephone Number	:	424-646-6535
Fax Number	:	213-351-2490

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

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	09/06/2022

Similar Medicare Providers

1982245700 — BARBARA J KING SUTTON LCSW
Practice Location Address:

9160 LOYOLA BLVD
LOS ANGELES, CA
90045-3576

Practice Phone: 424-646-6535
Practice Fax:

1659561488 — JIMMY T. UY, M.D., INC.
Practice Location Address:

3576 GRIFFITH PARK BLVD
LOS ANGELES, CA
90027-1444

Practice Phone: 323-662-9388
Practice Fax: 323-662-4945

1790641637 — KATHERINE JOHNSON
Practice Location Address:

8939 S SEPULVEDA BLVD
LOS ANGELES, CA
90045-3631

Practice Phone: 310-795-9737
Practice Fax:

1538026737 — CAROLINE SOBERANO
Practice Location Address:

8936 S SEPULVEDA BLVD
LOS ANGELES, CA
90045-3628

Practice Phone: 310-590-2851
Practice Fax:

1316802028 — MARIO ALFONSO GARCIA I DC
Practice Location Address:

6820 LA TIJERA BLVD STE 217
LOS ANGELES, CA
90045-1931

Practice Phone: 310-218-4300
Practice Fax: 310-218-4310

1992459911 — CHANNARY VOENG
Practice Location Address:

8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA
90045-3945

Practice Phone: 310-337-1550
Practice Fax:

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.