Organization · Type 2 NPI

Los Angeles County Department of Mental Health

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

NPI number 1720954910 Active

Practice location

1359 N. Grand Ave.
Covina, CA 91724-1016

Fax (213) 840-6453

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...

3 other providers at this address

Los Angeles County Department of Mental HealthMental Health Occupational Therapist Covina, CA NPI 1356247894
Los Angeles County Department of Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) Covina, CA NPI 1912381484
Cynthia GarciaMental Health Counselor Covina, CA NPI 1689194680

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

See all in Covina →

NPI record

NPI: 1720954910
Entity type: Organization (Type 2)
Issued: Oct 14, 2025
Last updated: Jun 24, 2026
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

Sa3 Interim Housing Outreach PGM · doing business as

Authorized official

Dr. Lisa H. Wong, PSY.D.
Director of Mental Health
(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 1720954910

Los Angeles County Department of Mental Health's National Provider Identifier is 1720954910, issued on Oct 14, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Covina, CA. The record was last updated on Jun 24, 2026.