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 1831103191 Active

Practice location

5110 W Goldleaf Cir Fl 2
Los Angeles, CA 90056-1282

Call (310) 290-8610 Map

Fax (323) 290-3180

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...

2 other providers at this address

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NPI record

NPI: 1831103191
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: May 6, 2024
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

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Specialized Foster Care Wateridge · doing business as
Specialized Foster Care Wateridge · 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 1831103191

Los Angeles County Department of Mental Health's National Provider Identifier is 1831103191, issued on Jul 29, 2006. 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 May 6, 2024.