Organization · Type 2 NPI

County of Los Angeles Department of Mental Health

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

NPI number 1467672295 Active

Practice location

11080 W Olympic Blvd
Los Angeles, CA 90064-1937

Call (310) 966-6538 Map

Fax (310) 231-0684

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: 1467672295
Entity type: Organization (Type 2)
Issued: Apr 26, 2007
Last updated: Aug 4, 2022
Status: Active
Subpart: Yes of County of Los Angeles Department of Mental Health

Other names

<unavail>
Edmund D. Edelman -- FSP Program · doing business as
Edmund D. Edelman -- FSP Program · 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 1467672295

County of Los Angeles Department of Mental Health's National Provider Identifier is 1467672295, issued on Apr 26, 2007. 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 Aug 4, 2022.