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EAST SAN GABRIEL VALLEY MHC
NPI 1093921439
Clinic/Center - Mental Health (Including Community Mental Health Center) in Covina, CA

Active since May 15, 2007CLIA 05D2201808 · Waiver
1359 N GRAND AVE, COVINA, CA 91724(626) 430-2800 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, Jan 14, 2022, Oct 9, 2020 and 3 more (6 updates tracked since 2016).

About East San Gabriel Valley Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SAN GABRIEL VALLEY MHC (NPI 1093921439) is a healthcare organization registered as a mental health (including community mental health center) in Covina, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Lisa H. Wong, Acting Director, as its authorized official.

NPPES Registry Identity

NPI1093921439
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Location Address1359 N GRAND AVECovina, CA 91724-1016
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1992 · (213) 738-4601
Phone(626) 430-2800
Organization SubpartYes
Authorized OfficialLisa H. WongActing Director · (213) 738-4601
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 4, 20226 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1093921439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1359 N GRAND AVE, Covina, CA 91724
Open in Google Maps ↗

Other Names 1

Doing Business AsEast San Gabriel Valley Mhc

Other Identifiers 1

Medicaid7777CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2201808

East San Gabriel Valley Mental Health Center · Covina, CA
Active · expires Nov 22, 2026
CLIA Number05D2201808
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorXin Kang
Laboratory Phone(213) 738-4725
Laboratory LocationEast San Gabriel Valley Mental Health Center1359 N Grand Ave, Covina, CA 91724
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMON GONZALEZ
Rehabilitation Practitioner
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (562) 500-9847
DR. MA'SHA SMITH PSYD, PPS
Psychologist
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2908
TRACY ORTEGA
Case Manager/Care Coordinator
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2906
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2900
ALISON CHING
Counselor (Mental Health)
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2961
MR. ERIK RAYMUNDO STONE BA
Social Worker
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2900
MISS TIFFANY GRANJA
Social Worker (Clinical)
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2875
JACQUI CHENG
Marriage & Family Therapist
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Angeles County Department Of Mental Health's NPI number?

The NPI number for Los Angeles County Department Of Mental Health is 1093921439. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as East San Gabriel Valley Mhc.

Where is Los Angeles County Department Of Mental Health located?

Los Angeles County Department Of Mental Health is located at 1359 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 430-2800.

What is Los Angeles County Department Of Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Los Angeles County Department Of Mental Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2201808) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Angeles County Department Of Mental Health was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.