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Department Of Mental Health, La County
Point of Service in Los Angeles, California
NPI 1790008258

Department Of Mental Health, La County is a Point of Service based in Los Angeles, CA. Department Of Mental Health, La County practices in Los Angeles, CA. The NPI Number for Department Of Mental Health, La County is 1790008258 and holds a License No. D05195986 (California).

The current practice location address for Department Of Mental Health, La County is 4067 W 3Rd St Apt 106, Los Angeles, CA and can be reached out via phone at 213-807-4639.

Location: 4067 W 3Rd St Apt 106, Los Angeles, CA, 90020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790008258
Provider Name
Department Of Mental Health, La County
Credential
Provider Entity Type
Organization
Address
4067 W 3Rd St Apt 106, Los Angeles, CA, 90020
Phone Number
213-807-4639
Fax Number
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D05195986 01 AZ ARIZONA IDENTIFICATION CARD
institution
Provider Business Practice Location Address Details
Address
4067 W 3Rd St Apt 106
City
Los Angeles
State
California
Zip
90020-3168
Phone Number
213-807-4639
Fax Number
person
Provider Business Mailing Address Details
Address
4067 W 3Rd St Apt 106
City
Los Angeles
State
California
Zip
90020-3168
Phone Number
213-807-4639
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
MANTELA352PR (Washington)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
D05195986 (Arizona)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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