# COUNTY OF LOS ANGELES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447625959
- **Authorized official:** ART BERNAL (REVENUE MANAGER)
- **Authorized official phone:** (323) 890-7775

## Contact information

- **Practice address:** 5555 FERGUSON DR, COMMERCE, CA 90022-5164
- **Practice address phone:** (323) 890-7509
- **Mailing address:** 44900 60TH ST W, LANCASTER, CA 93536-7618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015