Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1629001037 Active

Practice location

1294 W 6th Street, 2nd Floor
San Pedro, CA 90731-2987

Call (310) 519-6100 Map

Fax (310) 356-3151

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

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1629001037
Entity type: Organization (Type 2)
Issued: Jul 9, 2006
Last updated: Jul 21, 2025
Status: Active
Subpart: Yes of Los Angeles County Department of Mental

Other names

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San Pedro Mental Health Center · doing business as
San Pedro Mental Health Center · doing business as

Authorized official

Dr. Lisa H. Wong, PSY.D.
Director
(213) 947-6670

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.

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About NPI 1629001037

Los Angeles County Department of Mental Health's National Provider Identifier is 1629001037, issued on Jul 9, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Pedro, CA. The record was last updated on Jul 21, 2025.