Healthcare Provider Details

I. General information

NPI: 1780146639
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 N BROADWAY
LOS ANGELES CA
90031-2803
US

IV. Provider business mailing address

3303 N. BROADWAY
LOS ANGELES CA
90031
US

V. Phone/Fax

Practice location:
  • Phone: 323-362-1400
  • Fax:
Mailing address:
  • Phone: 323-362-1400
  • 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: AMBULATORY NETWORK, CEO
Credential:
Phone: 213-288-9000