Healthcare Provider Details

I. General information

NPI: 1891708079
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N GLENDALE AVE
GLENDALE CA
91206-3312
US

IV. Provider business mailing address

501 N GLENDALE AVE
GLENDALE CA
91206-3312
US

V. Phone/Fax

Practice location:
  • Phone: 818-500-3501
  • Fax:
Mailing address:
  • Phone: 818-500-3501
  • 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: MS. CAROLYN RHEE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 818-364-3001