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 1073364022 Active

Practice location

11303 W Washington Blvd # 200
Los Angeles, CA 90066-6003

Call (310) 482-3200 Map

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...

5 other providers at this address

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NPI record

NPI: 1073364022
Entity type: Organization (Type 2)
Issued: Mar 28, 2024
Last updated: Mar 28, 2024
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

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Edmund D. Edelman Westside MHC Child & Family- FSP · doing business as

Authorized official

Dr. Lisa Wong
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 1073364022

Los Angeles County Department of Mental Health's National Provider Identifier is 1073364022, issued on Mar 28, 2024. 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 Mar 28, 2024.