NPIMap

Organization Active NPI

County of Los Angeles

  • Prison Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1730969031
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF LOS ANGELES
Practice address
450 Bauchet St, 8TH Floor, Room E815
Los Angeles, CA 90012
Phone
(213) 893-5883
Fax
(213) 633-4663
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Sean Henderson, MD
Title
Chief Medical Officer
Phone
(213) 893-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

450 Bauchet St, 8TH Floor, Room E815
Los Angeles, CA 90012

Mailing address

1000 S. Fremont Ave., Unit #9
BLDG A11, Ground FL, Suite A11010
Alhambra, CA 91803-8801
Phone (626) 525-6076

Other names 1

  • Correctional Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Rancho Los Amigos Liver613 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

450 Bauchet St
Fl 8
Los Angeles, CA 90012
Phone (213) 893-5883

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1730969031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. FREMONT AVE., UNIT #9",
            "address_2": "BLDG A11, GROUND FL, SUITE A11010",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038801",
            "telephone_number": "626-525-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAUCHET ST, 8TH FLOOR, ROOM E815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-893-5883",
            "fax_number": "213-633-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "213-893-5304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Correctional Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.