Healthcare Provider Details
I. General information
NPI: 1225776339
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2022
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 E ARTESIA ST STE 150
POMONA CA
91767-2994
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
- Phone: 626-434-7000
- Fax: 626-450-8940
- Phone: 626-525-6076
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QUENTIN
O'BRIEN
Title or Position: AMBULATORY CARE NETWORK CEO
Credential:
Phone: 213-288-9000