County of Los Angeles Auditor Controller
Organization Active NPI Clinic/Center · Wilmington, CA
NPI 1508872912 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1508872912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- COUNTY OF LOS ANGELES AUDITOR CONTROLLER
- Practice address
- 1325 Broad Ave
Wilmington, CA 90744-2604 - Phone
- (562) 804-8101
- NPI assigned
- Jul 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Authorized official
- Name
- Virginia Perez
- Title
- Chief, Consolidated Business Office
- Phone
- (323) 914-7622
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Usc Caruso Department Otolaryngology-Head and Neck Surgery
- Part of
- Usc Caruso Department Otolaryngology-Head and Neck Surgery
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1325 Broad Ave
Wilmington, CA 90744-2604
Mailing address
1325 Broad Ave
Wilmington, CA 90744-2604
Phone (562) 804-8101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC16026F | Medicaid | CA |
Other names
- Wilmington Subcenter
Other providers in Wilmington, CA
- Catherine Corro
- County of Los Angeles
- County of Los Angeles
- County of Los Angeles
- County of Los Angeles Auditor Controller
- County of Los Angeles Auditor Controller
- County of Los Angeles Auditor Controller
- Covid-19 Testing Centers, Inc.
- Anqoinette Crowder-Jones
- Damaaru, Inc.
All providers in Wilmington, CA · 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 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.