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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)

Other Identifiers

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

General Provider Information

NPI Number : 1306850169
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Provider Business Mailing Address
First Line : 427 S. ENCINAL CYN ROAD
Second Line :
City : MALIBU
State : CA
Zip : 90265-2404
Country : US
Telephone Number : 818-798-3551
Fax Number : 818-798-3551
Provider Business Practice Location Address
First Line : 427 S ENCINAL CYN RD
Second Line :
City : MALIBU
State : CA
Zip : 90265-2404
Country : US
Telephone Number : 818-735-2805
Fax Number : 213-487-0764
Authorized Official
Title or Position : DIRECTOR
Name : DR. LISA H. WONG
Credential :
Telephone Number : 213-947-6670
Provider Enumeration Date : 07/28/2006
Last Update Date : 05/20/2026

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

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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.

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