AFH - MLK HAVEN CLINIC
NPI 1043759855
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About AFH - MLK HAVEN CLINIC
This page provides the complete NPI Profile along with additional information for Afh - Mlk Haven Clinic, a provider established in Los Angeles, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043759855 assigned on February 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Afh - Mlk Haven Clinic. The authorized official of this NPI record is Lisa H. Wong Psy.d. (Acting Director)
- NPI
- 1043759855 Verify this NPI
- Provider Legal Name
- LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
- Other Organization Name
- AFH - MLK HAVEN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12021 WILMINGTON AVE LOS ANGELES, CA 90059
- Location Phone
- (424) 338-2801
- Location Fax
- (310) 223-0319
- Mailing Address
- 510 S VERMONT AVE LOS ANGELES, CA 90020
- Mailing Phone
- (213) 738-4601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-14-2017
- Last Update Date
- 09-01-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6864B | MEDICAID (05) | CA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043759855, enumerated as an "organization" on February 14, 2017.
The provider is located at 12021 WILMINGTON AVE LOS ANGELES, CA 90059 and the phone number is (424) 338-2801.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
