Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other names
San Fernando MHS -- FSP Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Authorized official
LISA H. WONG PSY.D. (ACTING DIRECTOR)
(213) 738-4601
Entity
Organization
Contact information
Practice address
10605 BALBOA BLVD STE 100, GRANADA HILLS, CA 91344-6367
(818) 832-2400
(818) 832-2567
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
—
7651
—
CA
Enumeration date
02/27/2007
Last updated
09/23/2022
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