Healthcare Provider Details

I. General information

NPI: 1861091969
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 ATLANTIC AVE
BELL CA
90201-3646
US

IV. Provider business mailing address

1000 S. FREMONT AVE. UNIT #9, BLDG A11, GROUND FL.
ALHAMBRA CA
91803-8801
US

V. Phone/Fax

Practice location:
  • Phone: 310-868-7600
  • Fax:
Mailing address:
  • Phone: 626-525-6076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: QUENTIN O'BRIEN
Title or Position: CEO, AMBULATORY CARE NETWORK
Credential:
Phone: 213-288-9000