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 1316684004 Active

Practice location

11505 W Olympic Blvd
Los Angeles, CA 90064-1508

Call (213) 738-3412 Map

Fax (213) 351-2490

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: 1316684004
Entity type: Organization (Type 2)
Issued: May 16, 2022
Last updated: Sep 13, 2022
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

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Therapeutic Transportation-Fs59 · doing business as
Therapeutic Transportation-Fs59 · doing business as

Authorized official

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

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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 1316684004

Los Angeles County Department of Mental Health's National Provider Identifier is 1316684004, issued on May 16, 2022. 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 Sep 13, 2022.