Organization · NPI-2

Los Angeles County Department Of Mental Health

Clinic/Center, Mental Health (Including Community Mental Health Center) · Canoga Park, CA

NPI number1194108357
StatusActive
Last updated in NPPESJun 27, 2025

Details

NPI
1194108357
Entity type
Organization (NPI-2)
Legal business name
Los Angeles County Department Of Mental Health
Organization subpart
Yes
Enumeration date
Jul 7, 2015
Certification date
Jun 27, 2025
Last updated
Jun 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Sa2 Home West Team (Doing Business As)

Practice location

6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255

Phone 818-610-6726 · Fax 818-226-0516

Mailing address

510 S Vermont Ave
Los Angeles, CA 90020-1992

Phone 213-738-4601

Authorized official

Lisa H. Wong
Director
2139476670

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