Healthcare Provider Details

I. General information

NPI: 1881063113
Provider Name (Legal Business Name): COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

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 Code291U00000X
TaxonomyClinical Medical Laboratory
License Number60000129
License Number StateCA

VIII. Authorized Official

Name: MR. ART BERNAL
Title or Position: HOSPITAL ADMINISTRATOR
Credential:
Phone: 323-240-8366