Provider Demographics
NPI:1447446414
Name:COUNTY OF LOS ANGELES, PUBLIC HEALTH
Entity type:Organization
Organization Name:COUNTY OF LOS ANGELES, PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELES
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-563-4086
Mailing Address - Street 1:1522 E 102ND ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90002-3338
Mailing Address - Country:US
Mailing Address - Phone:323-563-4068
Mailing Address - Fax:323-249-1594
Practice Address - Street 1:1522 E 102ND ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90002-3338
Practice Address - Country:US
Practice Address - Phone:323-563-4068
Practice Address - Fax:323-249-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA437226261QP0905X
CA437662261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local