MEDICARE: COUNTY OF LOS ANGELES

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	282N00000X	General Acute Care Hospital	60000161	CA

General Provider Information

NPI Number	:	1336154020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF LOS ANGELES

Provider Business Mailing Address
First Line	:	7601 IMPERIAL HWY
Second Line	:	SSA ROOM 2208
City	:	DOWNEY
State	:	CA
Zip	:	90242-3456
Country	:	US
Telephone Number	:	562-401-7322
Fax Number	:	562-803-4987

Provider Business Practice Location Address
First Line	:	7601 IMPERIAL HWY
Second Line	:	SSA ROOM 2208
City	:	DOWNEY
State	:	CA
Zip	:	90242-3456
Country	:	US
Telephone Number	:	562-401-7322
Fax Number	:	562-803-4987

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MS. ROBIN BAYUS
Credential	:
Telephone Number	:	562-401-7346

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	02/12/2015

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1568479467 — COUNTY OF LOS ANGELES AUDITOR CONTROLLER
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Directions to “COUNTY OF LOS ANGELES ” Practice Location

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