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General NPI Number Information
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NPI Number | 1649203068
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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 | 07/09/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3609 10TH AVENUE 1ST FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90018-4114
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Country | US
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Telephone | 323-298-3680
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Fax | 213-402-3551
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Provider Business Mailing Address
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Address Line | 510 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-1992
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Country | US
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Telephone | 213-738-4601
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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 H. WONG
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Credential | PSY.D.
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Telephone | 213-947-6670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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