Healthcare Provider Details

I. General information

NPI: 1215110804
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S COMMONWEALTH AVE SUITE #800
LOS ANGELES CA
90005-4001
US

IV. Provider business mailing address

600 S COMMONWEALTH AVE SUITE #800
LOS ANGELES CA
90005-4001
US

V. Phone/Fax

Practice location:
  • Phone: 213-639-6400
  • Fax: 213-639-1035
Mailing address:
  • Phone: 213-639-6400
  • Fax: 213-639-1035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN E. FIELDING
Title or Position: DIR OF PUBLIC HEALTH &HEALTH OFCR
Credential: M. D., M. P. H..
Phone: 213-240-8117