Organization
COUNTY OF LOS ANGELES
Active
Other names
Office of Diversion and Reentry Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIET NGUYEN MD, MPH (MEDICAL DIRECTOR)
(213) 418-3600
Entity
Organization
Contact information
Practice address
222 S HILL ST FL 4, LOS ANGELES, CA 90012-3508
(213) 418-3600
(213) 437-0034
Mailing address
1000 S. FREMONT AVE., UNIT #9, BLDG A11, GROUND FL., SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076
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
01
—
00504
LE
—
Enumeration date
03/16/2023
Last updated
04/03/2024
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