# LOS ANGELES SHERIFF'S DEPARTMENT

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

## Provider details

- **NPI number:** 1942477757
- **Authorized official:** MRS. MARIA OFELIA CRUZ DE PORTILLO NP (NURSE PRACTITIONER)
- **Authorized official phone:** (213) 893-5455

## Contact information

- **Practice address:** 450 BAUCHET ST, LOS ANGELES, CA 90012-2907
- **Practice address phone:** (213) 893-5455
- **Practice address fax:** (213) 633-4663
- **Mailing address:** 19400 LANARK ST, RESEDA, CA 91335-1013
- **Mailing address phone:** (818) 885-0864
- **Mailing address fax:** (818) 885-0864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 586319 NPC16628 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 05/12/2008