Organization
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER
Active
Parent organization
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER
Other names
Gateways Child and Adolescent Outpatient Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER
Authorized official
PHILIP WONG PSY.D (CHIEF EXECUTIVE OFFICER)
(323) 644-2000
Entity
Organization
Contact information
Practice address
711 W COLLEGE ST STE 500, LOS ANGELES, CA 90012-1246
(323) 644-2000
Mailing address
1891 EFFIE STREET, LOS ANGELES, CA 90026-1711
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
930000058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-4028
MEDICARE (NOT SURE WHAT TYPE, IT JUST SAYS MEDICARE NUMBER)
CA
Enumeration date
12/03/2015
Last updated
12/08/2025
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