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NPI Code Detail

MEDICARE: COUNTY OF LOS ANGELES AUDITOR CONTROLLER

MEDICARE: COUNTY OF LOS ANGELES AUDITOR CONTROLLER
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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HAP11866FOTHERCAHUM CHC FAMILY PACT

General Provider Information

NPI Number : 1497761324
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Provider Business Mailing Address
First Line : 5850 S MAIN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-1215
Country : US
Telephone Number : 323-846-4321
Fax Number :
Provider Business Practice Location Address
First Line : 5850 S MAIN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-1215
Country : US
Telephone Number : 323-846-4321
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. JODY NAKASUJI
Credential :
Telephone Number : 310-222-3004
Provider Enumeration Date : 07/31/2006
Last Update Date : 08/22/2020

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Directions to “COUNTY OF LOS ANGELES AUDITOR CONTROLLER ” 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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