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 1912636747 Active

Practice location

947 Cole Avenue, 1st Floor
Los Angeles, CA 90038-2610

Call (323) 525-6400 Map

Fax (323) 525-2133

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1912

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: 1912636747
Entity type: Organization (Type 2)
Issued: Jun 7, 2022
Last updated: May 7, 2026
Status: Active
Subpart: Yes of Los Angeles County Department of Mental Health

Other names

<unavail>
Sa 4 Community Reintegration · doing business as

Authorized official

Dr. Lisa H. Wong, PSY.D.
Director
(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 1912636747

Los Angeles County Department of Mental Health's National Provider Identifier is 1912636747, issued on Jun 7, 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 May 7, 2026.