Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other names
SA5 HOME South Team
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Authorized official
DR. LISA H. WONG PSY.D. (DIRECTOR)
(213) 947-6670
Entity
Organization
Contact information
Practice address
11080 W OLYMPIC BOULEVARD FLOOR 2, LOS ANGELES, CA 90064-1937
(310) 482-6651
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1992
(213) 738-4601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7934
—
CA
Enumeration date
06/04/2015
Last updated
07/03/2025
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