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
1	282N00000X	General Acute Care Hospital	60000132	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1962418392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Provider Business Mailing Address
First Line	:	12021 WILMINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3019
Country	:	US
Telephone Number	:	310-668-5201
Fax Number	:

Provider Business Practice Location Address
First Line	:	12021 WILMINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3019
Country	:	US
Telephone Number	:	310-668-5201
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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1568486033 — COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Practice Location Address:

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1790799310 — COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Practice Location Address:

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90059-3019

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Practice Fax:

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

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