County of Los Angeles
Organization
Active NPI
Pharmacy · San Fernando, CA
NPI 1114967965 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1114967965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PHE44724 (CA)
- Legal business name
- COUNTY OF LOS ANGELES
- Practice address
- 1212 Pico St
San Fernando, CA 91340-3503
- Phone
- (818) 837-6945
- Fax
- (818) 837-6952
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Gutierrez
- Title
- Chief Pharmacy Officer
- Phone
- (213) 240-7717
Corporate family (same tax ID) 24
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County of Los Angeles Department of Mental Health Point of Service · Los Angeles, CA · NPI 1114331139
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-
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National Provider Directory
- Tax ID family
- Usc Caruso Department Otolaryngology-Head and Neck Surgery (612 organizations share this tax ID)
Locations
313 N Figueroa St
Ste 701
Los Angeles, CA 90012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pharmacy |
333600000X |
PHE44724 |
CA |
Yes |
| Clinic Pharmacy |
3336C0002X |
|
|
|
Addresses
Primary practice location
1212 Pico St
San Fernando, CA 91340-3503
Mailing address
313 N Figueroa St Ste 701
Los Angeles, CA 90012-2602
Phone (213) 240-7717
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 1995684 | Other | | PK |
Other names
- LOS ANGELES CO SAN FERNANDO PHCY Doing business as