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COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH NPI 1114331139


NPI Information

NPI: 1114331139
Provider Name: COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH

Former Legal Business Name: CENTRAL JUVENILE HALL MENTAL HEALTH UNIT

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1605 EASTLAKE AVE
2ND FLOOR
LOS ANGELES, CA
ZIP 90033
Phone: (323) 226-8826
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COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH is a point of service in Los Angeles, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH NPI is 1114331139. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Central Juvenile Hall Mental Health Unit.

The provider's business location address is:

1605 EASTLAKE AVE
2ND FLOOR
LOS ANGELES, CA
ZIP 90033-009
Phone: (323) 226-8826
Fax: (323) 226-8820

The provider's authorized official is Marvin J Southard, D.s.w. .
The authorized official title is Director and has the following contact phone number (213) 738-4601.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 6/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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