=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225329709
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2011
-----------------------------------------------------
Last Update Date | 01/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 CORPORATE CENTER DRIVE 2ND FL.
-----------------------------------------------------
City | MONTEREY PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91754-7620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-269-1424
-----------------------------------------------------
Fax | 626-602-8659
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 510 S VERMONT AVE
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90020-1912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-738-4601
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACTING DIRECTOR
-----------------------------------------------------
Name | LISA H. WONG
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 213-738-4601
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------