Lac-DMH

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LAC-DMH

Practice address

4060 Watson Plaza Dr
Lakewood, CA 90712-4033

Phone

(213) 905-3659

NPI assigned

May 9, 2025

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Constance M ManuelNPI 1780341982

Title

Sr. Community Worker

Phone

(213) 905-3659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance Manuel

  • Case Manager/Care Coordinator
  • Lakewood, CA
  • NPI 1780341982
  NPD Authorized official

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1659161958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 E NORBERRY ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353449",
            "telephone_number": "231-905-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "213-905-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC-DMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. COMMUNITY WORKER",
        "authorized_official_telephone_number": "213-905-3659",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.