| Los Angeles County Department Of Mental Health | |
|
780 N San Vicente Blvd Room 127 West Hollywood CA 90069-5021 | |
| (310) 358-4043 | |
| (310) 659-4589 |
| Full Name | Los Angeles County Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 780 N San Vicente Blvd Room 127, West Hollywood, California |
| Authorized Official Name and Position | Lisa H. Wong (DIRECTOR) |
| Authorized Official Contact | 2139476670 |
| 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 90020-1912 Ph: (213) 947-6670 | Los Angeles County Department Of Mental Health 780 N San Vicente Blvd Room 127 West Hollywood CA 90069-5021 Ph: (310) 358-4043 |
| NPI Number | 1609368323 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609368323 | NPI | - | NPPES |
| 19A5 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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