# COUNTY OF LOS ANGELES AUDITOR CONTROLLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** County of Los Angeles -Rancho Los Amigos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528162229
- **Authorized official:** MINDY AISEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 803-0124

## Contact information

- **Practice address:** 7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
- **Practice address phone:** (562) 803-0124
- **Practice address fax:** (562) 803-5569
- **Mailing address:** PO BOX 514316, TERMINAL ANNEX, LOS ANGELES, CA 90051-2316
- **Mailing address phone:** (562) 803-0124
- **Mailing address fax:** (562) 803-5569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | M052014 | MEDICARE NUMBER | CA |