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General NPI Number Information
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NPI Number | 1457160087
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Entity Type | Organization
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Legal Business Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | LA COUNTY DEPT. OF MENTAL HEALTH 655 MAPLE AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90014-2211
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Country | US
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Telephone | 213-248-0775
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Fax |
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Provider Business Mailing Address
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Address Line | 711 BRIDEWELL ST APT 3
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City | LOS ANGELES
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State | CA
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Zip | 90042-3079
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Country | US
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Telephone | 213-248-0775
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Fax |
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Authorized Official
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Title or Position | ACTING DIRECTOR
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Name | LISA WONG
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Credential |
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Telephone | 213-738-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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