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NPI Code Detail

MEDICARE: LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1245931070
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Provider Business Mailing Address
First Line : 510 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-1912
Country : US
Telephone Number : 213-947-6670
Fax Number :
Provider Business Practice Location Address
First Line : 5419 W. SUNSET BLVD.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5613
Country : US
Telephone Number : 747-900-3806
Fax Number : 323-671-2600
Authorized Official
Title or Position : DIRECTOR
Name : DR. LISA WONG
Credential : PSYD
Telephone Number : 213-947-6670
Provider Enumeration Date : 03/17/2023
Last Update Date : 06/02/2026

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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.