Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1063193720 Active

Practice location

330 Ferry St
San Pedro, CA 90731-7415

Call (213) 947-6271 Map

Fax (213) 351-2490

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

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NPI record

NPI: 1063193720
Entity type: Organization (Type 2)
Issued: Jul 26, 2023
Last updated: Jul 26, 2023
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

Therapeutic Transportation-Fs40 · doing business as

Authorized official

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

Verify this record

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 1063193720

Los Angeles County Department of Mental Health's National Provider Identifier is 1063193720, issued on Jul 26, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Pedro, CA. The record was last updated on Jul 26, 2023.