Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other names
Post Release AB109
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
510 S VERMONT AVE FL 22, LOS ANGELES, CA 90020-1912
(213) 738-2877
(213) 402-3554
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
—
19AZ
—
CA
Enumeration date
12/11/2018
Last updated
12/01/2022
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