MEDICARE: LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245246974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Provider Business Mailing Address
First Line	:	550 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1912
Country	:	US
Telephone Number	:	213-738-4601
Fax Number	:	213-386-1297

Provider Business Practice Location Address
First Line	:	11705 ALAMEDA ST
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-4023
Country	:	US
Telephone Number	:	323-568-4678
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JONATHAN E. SHERIN
Credential	:	M.D., PH.D.
Telephone Number	:	213-738-4601

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	12/15/2016

Similar Medicare Providers

1972275659 — DEVIN NICHOLE LOVE WILSON LCSW
Practice Location Address:

11705 ALAMEDA ST
LYNWOOD, CA
90262-4023

Practice Phone: 213-473-6100
Practice Fax:

1912985888 — ARSHDEEP SINGH JAWANDHA M.B.,B.S.
Practice Location Address:

11705 ALAMEDA ST
LYNWOOD, CA
90262-4023

Practice Phone: 323-568-4678
Practice Fax:

1558440461 — CHARMANE HENRY-DAIGLE RN
Practice Location Address:

11705 S ALAMEDA ST , DMH
LYNWOOD, CA
90262-4023

Practice Phone: 323-568-4678
Practice Fax:

1245306596 — RUBINA JETLEY
Practice Location Address:

11705 ALAMEDA ST
LYNWOOD, CA
90262-4023

Practice Phone: 323-568-4678
Practice Fax:

1528185949 — KATARINA MINA TASIC M.D.
Practice Location Address:

11705 ALAMEDA ST
LYNWOOD, CA
90262-4023

Practice Phone: 323-568-4677
Practice Fax: 323-568-4650

1841412962 — COUNTY OF LOS ANGELES
Practice Location Address:

11705 S. ALAMEDA ST
LYNWOOD, CA
90262-4023

Practice Phone: 323-568-4555
Practice Fax: 323-415-3987

Directions to “LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.