Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other names
Edelman WMHC (Child)
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
11303 W WASHINGTON BLVD STE 200, LOS ANGELES, CA 90066-6003
(310) 482-3200
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1992
(213) 738-4601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IAW2131
—
CA
Enumeration date
09/25/2013
Last updated
09/12/2022
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