County of Los Angeles
Organization Active NPI State or Local Public Health Clinic/Center · Inglewood, CA
NPI 1346435781 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1346435781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- State or Local Public Health Clinic/Center 261QP0905X
- Legal business name
- COUNTY OF LOS ANGELES
- Practice address
- 123 W Manchester Blvd
Inglewood, CA 90301-1753 - Phone
- (310) 419-5325
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Barbara Ferrer, PH.D., M. P. H.,M.E.
- Title
- Director of Public Health
- Phone
- (213) 240-8117
Other NPIs on the same Medicare enrollment 49
Corporate family (same tax ID) 24
Practitioners 10
-
Lisa M Garcia, M.D.
-
Lydia Ning Lo, MD, MPH
-
Clarence Canlapan Monteclaro, MD, MBA
-
Rita Oregon, M.D.
-
Silvia R Prieto, MD, MPH
-
Shobita Rajagopalan, MD, MPH
-
Perla Marilyn Rodriguez, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204001218 | CA | Part B Supplier - Clinic/Group Practice | 1850296534 |
Receives reassigned benefits from 1,953 practitioners 49 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Pacoima, CA; Monrovia, CA; North Hollywood, CA; Palmdale, CA; Pomona, CA; San Fernando, CA; Santa Monica, CA… |
National Provider Directory
- Tax ID family
- Usc Caruso Department Otolaryngology-Head and Neck Surgery
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Yes |
Addresses
Primary practice location
123 W Manchester Blvd
Inglewood, CA 90301-1753
Mailing address
123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone (310) 419-5325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZW16028F | Medicaid | CA |
Other names
- Curtis Tucker Health Center
Other providers in Inglewood, CA
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Benita Patricia Council
- County of Los Angeles
- County of Los Angeles - Auditor Controller
- County of Los Angeles Auditor Controller
- Courtney S. Scott, MD Inc.
- Latoya R. Courtney-Reinhold
- Monique Roxanne Craig
All providers in Inglewood, CA · State or Local Public Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.