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General NPI Number Information
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NPI Number | 1366506057
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Entity Type | Organization
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Legal Business Name | LA COUNTY DEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 550 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-1912
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Country | US
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Telephone | 213-738-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E. SEASIDE WAY # 605
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City | LONG BEACH
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State | CA
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Zip | 90802-8005
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Country | US
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Telephone | 562-435-3352
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | HTOO SHEIN WIN
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Credential | LCSW
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Telephone | 213-738-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCS 21024
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License Number State | CA
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