Healthcare Provider Details

I. General information

NPI: 1154628006
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 02/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST BOX 480
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

1000 W CARSON ST BOX 480
TORRANCE CA
90502-2004
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-5026
  • Fax: 310-222-5027
Mailing address:
  • Phone: 310-222-5026
  • Fax: 310-222-5027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MIGUEL ORTIZ-MARROQUIN
Title or Position: CEO
Credential:
Phone: 310-222-2101