Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other names
Edmund D. Edelman Westside MHC Child & Family
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., SUITE 200, LOS ANGELES, CA 90066-6003
(310) 482-6600
(310) 313-0813
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
—
7191
—
CA
Enumeration date
07/31/2006
Last updated
11/22/2022
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