Organization · Type 2 NPI

Los Angeles County Department of Mental Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Gardena, CA

NPI number 1033980990 Active

Practice location

879 West 190th Street, Ste. 720
Gardena, CA 90248-4205

Call (213) 217-7312 Map

Fax (310) 496-2757

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1912

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Los Angeles County Department of Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) Gardena, CA NPI 1376576900

Other mental health clinic/center (including community mental health center) providers in Gardena

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NPI record

NPI: 1033980990
Entity type: Organization (Type 2)
Issued: Jan 10, 2024
Last updated: Apr 14, 2026
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

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Coastal Api Family Mhc-Fsp · doing business as

Authorized official

Dr. Lisa H Wong, PSY.D.
Director
(213) 947-6670

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033980990

Los Angeles County Department of Mental Health's National Provider Identifier is 1033980990, issued on Jan 10, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Gardena, CA. The record was last updated on Apr 14, 2026.