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 1912855057 Active

Practice location

3303 N. Broadway,, Suite 300, 4th Floor
Los Angeles, CA 90031-2305

Fax (213) 325-4931

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: 1912855057
Entity type: Organization (Type 2)
Issued: Mar 16, 2026
Last updated: Mar 16, 2026
Status: Active
Subpart: Yes of County of Los Angeles Department of Mental Health

Other names

Tay Bridges Field Based Outpatient Team · 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 1912855057

Los Angeles County Department of Mental Health's National Provider Identifier is 1912855057, issued on Mar 16, 2026. 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 Mar 16, 2026.