MEDICARE: LOS ANGELES COUNTY

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1558541631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES COUNTY

Provider Business Mailing Address
First Line	:	222 S HILL ST
Second Line	:	5TH FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3506
Country	:	US
Telephone Number	:	213-974-1334
Fax Number	:	213-346-9844

Provider Business Practice Location Address
First Line	:	222 S HILL ST
Second Line	:	5TH FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3506
Country	:	US
Telephone Number	:	213-974-1334
Fax Number	:	213-346-9844

Authorized Official
Title or Position	:	LOCAL GOVERNMENTAL AGENCY
Name	:	MS. ELENA ESTRIN
Credential	:
Telephone Number	:	213-974-1334

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	11/06/2007

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Directions to “LOS ANGELES COUNTY ” Practice Location

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