LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH


Address: 11110 W Pico Blvd, Los Angeles, CA 90064-1709
Phone: 2136396777

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (NPI# 1427515246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427515246
Entity Type Organization
Organization Name LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other Organization Name RANCHO PARK GR PEI PROGRAM
Practice Address 11110 W Pico Blvd
Los Angeles
CA 90064-1709
Mailing Address 550 S Vermont Ave
Los Angeles
CA 90020-1912
Practice Telephone 2136396777
Practice Fax Number 2137384979
Mailing Telephone 2137384601
Mailing Fax Number 2133861297
Enumeration Date 2019-02-28
Last Update Date 2019-08-09
Authorized Official Name DR. JONATHAN E SHERIN (DIRECTOR)
Authorized Official Telephone 2137384601
Authorized Official Credential M.D., PH.D.
Is Organization Subpart Y
Parent Organization Name LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 19BI 05

Other Provider/Organization Names

Other Name Type Code
Rancho Park GR PEI Program Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962016527 Los Angeles County Department of Mental Health Clinic/Center 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 2020-09-01
1760003859 Los Angeles County Department of Mental Health Clinic/Center 1000 W Avenue J, Lancaster, CA 93534-3329 2020-04-30
1073158622 Los Angeles County Department of Mental Health Clinic/Center 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 2019-11-07
1144787961 Los Angeles County Department of Mental Health Clinic/Center 813 E 4th Pl, Los Angeles, CA 90013-1805 2019-02-28
1396202438 Los Angeles County Department of Mental Health Clinic/Center 15777 Bowdoin St # J110a, Pacific Palisades, CA 90272-3523 2019-02-25
1912478348 Los Angeles County Department of Mental Health Clinic/Center 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 2018-12-11
1609368323 Los Angeles County Department of Mental Health Clinic/Center 780 N San Vicente Blvd Rm 217, West Hollywood, CA 90069-5021 2018-05-30
1033632468 Los Angeles County Department of Mental Health Clinic/Center 1 W Manchester Blvd, Inglewood, CA 90301-1764 2017-07-18
1265955694 Los Angeles County Department of Mental Health Clinic/Center 200 N Pacific Coast Hwy, Redondo Beach, CA 90277-3150 2017-07-18
1538689005 Los Angeles County Department of Mental Health Clinic/Center 6320 W 96th St, Los Angeles, CA 90045-5233 2017-06-26

Office Location

Street Address 11110 W PICO BLVD
City LOS ANGELES
State CA
Zip Code 90064-1709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727597 Barbara K. Polland Marriage & Family Therapist 10533 Rountree Rd., Los Angeles, CA 90064 2020-10-16
1912542994 Reproductive Medicine Associates of Socal Ambulatory Surgery Center Clinic/Center 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 2019-11-13
1376022012 Payersdirect, Inc. Radiology 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 2018-08-13
1013404136 Jeannie Wakamatsu Dietitian, Registered 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 2018-04-13
1487153474 Victor Louie Behavior Technician 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 2018-02-06
1538683842 Ana Grinfeld Behavioral Analyst 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 2017-07-28
1407386089 Ovsanna Stepanyan Rehabilitation Practitioner 11080 W Olimpic Blvd, La, CA 90064 2017-06-15
1952768012 Grace Gayles Behavioral Analyst 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 2016-01-20
1669841003 Jessica Hildebrandt Occupational Therapy Assistant 2446 S Westgate Ave, Los Angeles, CA 90064 2015-09-16
1033592571 Joshua Busse Family Medicine 11845 Olympic Boulevard, Los Angeles, CA 90064 2015-07-01
Find all providers in zip 90064

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633864 Andrea Forcina Clinic/Center 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 2020-06-08
1831710706 Beyond Cancer Family Therapy Inc Clinic/Center 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 2020-05-02
1518599851 Vip Community Mental Health Center, Inc Clinic/Center 2820 E 1st St, Los Angeles, CA 90033-3636 2020-02-05
1699306340 Vip Community Mental Health Center, Inc. Clinic/Center 2730 Ganahl St, Los Angeles, CA 90033-2019 2020-01-31
1629618350 Ustawi Clinic/Center 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 2020-01-10
1073158622 Los Angeles County Department of Mental Health Clinic/Center 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 2019-11-07
1790327179 Otc LLC Clinic/Center 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 2019-10-17
1144787961 Los Angeles County Department of Mental Health Clinic/Center 813 E 4th Pl, Los Angeles, CA 90013-1805 2019-02-28
1295290658 Thrive Therapy, Inc. Clinic/Center 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 2019-02-09
1912478348 Los Angeles County Department of Mental Health Clinic/Center 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 2018-12-11
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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