Organization Name: | COUNTY OF LOS ANGELES DMH |
NPI Number: | 1104957489 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVIN SOUTHER (DIRECTOR OF DMH) |
Mailing Address: | 921 E Compton Blvd Compton |
State: | CA US |
Postal Code: | 902213303 |
Phone Number: | 3106686855 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | LCS21312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |