Healthcare Provider Details

I. General information

NPI: 1023948304
Provider Name (Legal Business Name): LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251-H AVENUE, K-6
LANCASTER CA
93535-4513
US

IV. Provider business mailing address

251-H AVENUE, K-6
LANCASTER CA
93535-4513
US

V. Phone/Fax

Practice location:
  • Phone: 661-974-8400
  • Fax: 661-524-9898
Mailing address:
  • Phone: 661-974-8400
  • Fax: 661-524-9898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA H. WONG
Title or Position: DIRECTOR
Credential:
Phone: 213-947-6670