Healthcare Provider Details

I. General information

NPI: 1326051087
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 03/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10953 RAMONA BLVD
EL MONTE CA
91731-2629
US

IV. Provider business mailing address

10953 RAMONA BLVD
EL MONTE CA
91731-2629
US

V. Phone/Fax

Practice location:
  • Phone: 626-579-8302
  • Fax:
Mailing address:
  • Phone: 626-579-8302
  • 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: MR. MARK MARK
Title or Position: INTERIM CHIEF FINANCIAL OFFICER
Credential:
Phone: 323-226-2400