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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 : 1356355614
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 : 90020-1992
Country : US
Telephone Number : 213-738-4601
Fax Number :
Provider Business Practice Location Address
First Line : 1359 N GRAND AVE
Second Line :
City : COVINA
State : CA
Zip : 91724-1016
Country : US
Telephone Number : 626-430-2901
Fax Number : 626-331-0109
Authorized Official
Title or Position : ACTING DIRECTOR
Name : LISA H. WONG
Credential : PSY.D.
Telephone Number : 213-738-4601
Provider Enumeration Date : 07/29/2006
Last Update Date : 07/29/2022

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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.

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