| Organization Name: | LOS ANGELES COUNTY - LA PUENTE MTU |
| NPI Number: | 1235284811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAVONDA WEBBER-CHRISTMAS (ACTING DIRECTOR, CMS) |
| Mailing Address: | 800 Tonopah Ave La Puente |
| State: | CA US |
| Postal Code: | 917442460 |
| Phone Number: | 6269333234 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |