Healthcare Provider Details

I. General information

NPI: 1902819659
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E 120TH ST FL 2
LOS ANGELES CA
90059-3052
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: 424-338-2500
  • Fax:
Mailing address:
  • Phone: 626-525-6076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. JORGE OROZCO
Title or Position: CEO
Credential:
Phone: 323-409-2800