Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN J SOUTHARD D.S.W. (DIRECTOR)
(213) 738-4601
Entity
Organization
Contact information
Practice address
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 241-6730
(323) 756-1163
Mailing address
233 WAPELLO ST, ALTADENA, CA 91001-4442
(626) 398-0116
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
334162
CA
Other
Enumeration date
11/09/2006
Last updated
06/15/2008
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