Healthcare Provider Details

I. General information

NPI: 1669300224
Provider Name (Legal Business Name): LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14659 OLIVE VIEW DRIVE
SYLMAR CA
91342-1652
US

IV. Provider business mailing address

14659 OLIVE VIEW DRIVE
SYLMAR CA
91342-1652
US

V. Phone/Fax

Practice location:
  • Phone: 213-948-2215
  • Fax: 818-979-2284
Mailing address:
  • Phone: 213-948-2215
  • Fax: 818-979-2284

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. LISA H. WONG
Title or Position: DIRECTOR
Credential: PSY.D.
Phone: 213-947-6670