Healthcare Provider Details

I. General information

NPI: 1164123907
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S HILL ST FL 4
LOS ANGELES CA
90012-3508
US

IV. Provider business mailing address

1000 S. FREMONT AVE., UNIT #9 BLDG A11, GROUND FL., SUITE A11010
ALHAMBRA CA
91803-8801
US

V. Phone/Fax

Practice location:
  • Phone: 213-418-3600
  • Fax: 213-437-0034
Mailing address:
  • Phone: 626-525-6076
  • Fax:

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. VIET NGUYEN
Title or Position: MEDICAL DIRECTOR
Credential: MD, MPH
Phone: 213-418-3600