Organization Active NPI

Los Angeles Department of Mental Health

  • Community/Behavioral Health Agency
  • Cerritos, CA
National Provider Identifier
1891884128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PT11926 Issued in CA
Legal business name
LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Practice address
17707 Studebaker Rd
Cerritos, CA 90703-2640
Phone
(156) 246-7020
Fax
(156) 240-2303
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Lynn Leslie I, LICENSED PSYCH TECH
Title
Licensed Psychiatric Technician
Phone
(562) 467-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PT11926 CA Primary

Addresses

Primary practice location

17707 Studebaker Rd
Cerritos, CA 90703-2640

Mailing address

1307 Voltaire Dr
Riverside, CA 92506-5385
Phone (195) 150-5850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891884128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 VOLTAIRE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065385",
            "telephone_number": "195-150-5850",
            "fax_number": "156-240-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 STUDEBAKER RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032640",
            "telephone_number": "156-246-7020",
            "fax_number": "156-240-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED PSYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "562-467-0209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LICENSED PSYCH TECH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PT11926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.