NPI 1114331139

County of Los Angeles Department of Mental Health

Organisation Point of Service Los Angeles, CA

Practice location

Address: 1605 Eastlake Ave 2nd Floor, Los Angeles, CA 90033-1009
Phone: (323) 226-8826
Fax: (323) 226-8820
Mailing address: 1605 Eastlake Avenue 2nd Floor, Los Angeles, CA 90033

Authorised official

Name: Marvin J Southard, D.S.W.
Title: Director
Phone: (213) 738-4601

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in California →

Registry record

NPI: 1114331139
Entity type: Organization
NPI issued: 18 Jun 2014
Record last updated: 18 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.