Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1043690118 Active

Practice location

11080 W Olympic Boulevard Floor 2
Los Angeles, CA 90064-1937

Call (310) 482-6651 Map

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1992

Specialties and licenses

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

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NPI record

NPI: 1043690118
Entity type: Organization (Type 2)
Issued: Jun 4, 2015
Last updated: Jul 3, 2025
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

<unavail>
Sa5 Home South Team · 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 1043690118

Los Angeles County Department of Mental Health's National Provider Identifier is 1043690118, issued on Jun 4, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 3, 2025.