# COUNTY OF LOS ANGELES

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

## Provider details

- **NPI number:** 1801160296
- **Authorized official:** DR. BRECK NICHOLS MD (MED PEDS PROGRAM DIRECTOR)
- **Authorized official phone:** (323) 226-5610

## Contact information

- **Practice address:** 2020 ZONAL AVE RM 115, LOS ANGELES, CA 90089-0121
- **Practice address phone:** (323) 226-5610
- **Mailing address:** 9314 OLYMPIC BLVD, PICO RIVERA, CA 90660-2142
- **Mailing address phone:** (562) 443-8904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A120119 | CA | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/02/2012