| Los Angeles County Department Of Mental Health | |
|
4305 S Santa Fe Ave Vernon CA 90058-1714 | |
| (323) 587-5171 | |
| (213) 351-2490 |
| Full Name | Los Angeles County Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4305 S Santa Fe Ave, Vernon, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles County Department Of Mental Health 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Los Angeles County Department Of Mental Health 4305 S Santa Fe Ave Vernon CA 90058-1714 Ph: (323) 587-5171 |
| NPI Number | 1750751194 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750751194 | NPI | - | NPPES |
| 7946 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |