Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1104585207 Active

Practice location

251 E Avenue K-6, 1st Floor, Ste B
Lancaster, CA 93535-4513

Call (213) 926-9638 Map

Fax (661) 449-3704

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1992

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
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...

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

See all in Lancaster →

NPI record

NPI: 1104585207
Entity type: Organization (Type 2)
Issued: Dec 16, 2021
Last updated: Apr 17, 2023
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

<unavail>
Sa1 Enhanced Care Management · doing business as
Sa1 Enhanced Care Management · doing business as

Authorized official

Lisa H. Wong, PSY.D.
Acting Director
(213) 738-4601

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.

Is this your record? How to update it.

About NPI 1104585207

Los Angeles County Department of Mental Health's National Provider Identifier is 1104585207, issued on Dec 16, 2021. 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 Apr 17, 2023.