Healthcare Provider Details

I. General information

NPI: 1760404404
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date: 12/29/2017
Reactivation Date: 05/24/2022

III. Provider practice location address

1000 W CARSON ST
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

1000 W CARSON ST
TORRANCE CA
90502-2004
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-2101
  • Fax:
Mailing address:
  • Phone: 310-222-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANDREA TURNER
Title or Position: CEO
Credential: JD, MBA, CNMT, ACHE
Phone: 424-306-6580