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DEPARTMENT OF MENTAL HEALTH LA COUNTY NPI 1790008258


NPI Information

NPI: 1790008258
Provider Name: DEPARTMENT OF MENTAL HEALTH, LA COUNTY
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
4067 W 3RD ST APT 106
LOS ANGELES, CA
ZIP 90020
Phone: (213) 807-4639
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DEPARTMENT OF MENTAL HEALTH, LA COUNTY 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. DEPARTMENT OF MENTAL HEALTH, LA COUNTY NPI is 1790008258. The provider is registered as an organization entity type.

The provider's business location address is:

4067 W 3RD ST APT 106
LOS ANGELES, CA
ZIP 90020-168
Phone: (213) 807-4639

The provider's authorized official is Marvin Southard .
The authorized official title is Director Of Mental Health and has the following contact phone number (213) 430-6700.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 3/11/2010.


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
1251E00000XHome HealthD05195986ARIZONANo
2305S00000XPoint of ServiceMANTELA352PRWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D05195986OTHERARIZONAARIZONA IDENTIFICATION CARD

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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