Lac Emergency Outreach Bureau (Psychiatric Mobile Response Team)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAC EMERGENCY OUTREACH BUREAU (PSYCHIATRIC MOBILE RESPONSE TEAM)

Practice address

11715 Patton Rd
Downey, CA 90241-5234

Phone

(562) 644-8662

NPI assigned

Sep 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joelene Friestad, LCSW

Title

Supervisor

Phone

(310) 534-1083

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Vallejo

  • Mental Health Counselor
  • Lomita, CA
  • NPI 1114234291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1477834125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 PATTON RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 PATTON RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415234",
            "telephone_number": "562-644-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC EMERGENCY OUTREACH BUREAU (PSYCHIATRIC MOBILE RESPONSE TEAM)",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "FRIESTAD",
        "authorized_official_first_name": "JOELENE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "310-534-1083",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Cardiology, Inc.
• La Heart and Vascular Center PC
• Robert La Vogue, CADC II
• Betty Tu La
• Marilyn La
• Laco Probation Dept
• Gisel Elena Laguna
• Samuel J Lagunas, PA-C
• Jonathan Lai, PHARMD
• Suzanne Lai, OTD, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Downey, CA
• Providers in Downey, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.