Healthcare Provider Details

I. General information

NPI: 1952073165
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W 3RD ST STE 400
LOS ANGELES CA
90057-1937
US

IV. Provider business mailing address

1000 S FREMONT AVE UNIT 9
ALHAMBRA CA
91803-8001
US

V. Phone/Fax

Practice location:
  • Phone: 213-699-7000
  • Fax:
Mailing address:
  • Phone: 626-525-6076
  • 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