Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1093190621 Active

Practice location

425 E. Ave I, Ste A
Lancaster, CA 93535-1916

Call (661) 223-3831 Map

Fax (661) 537-2937

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...

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NPI record

NPI: 1093190621
Entity type: Organization (Type 2)
Issued: Jul 24, 2015
Last updated: Jun 9, 2026
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

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Sa1 Home · doing business as

Authorized official

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 1093190621

Los Angeles County Department of Mental Health's National Provider Identifier is 1093190621, issued on Jul 24, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lancaster, CA. The record was last updated on Jun 9, 2026.