DMH DHS COLLABORATION LOMITA
NPI 1366853491
Clinic/Center - Mental Health (Including Community Mental Health Center) in Harbor City, CA

Active since May 12, 2014
1403 WEST LOMITA BLVD., 2ND FLOOR, CLINIC B, HARBOR CITY, CA 90710(213) 738-3111(213) 386-5282 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2022, Jan 11, 2022, Nov 30, 2020 and 3 more (6 updates tracked since 2016).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About DMH DHS COLLABORATION LOMITA

This page provides the complete NPI Profile along with additional information for Dmh Dhs Collaboration Lomita, a provider established in Harbor City, 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 1366853491 assigned on May 2014. 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 Dmh Dhs Collaboration Lomita. The authorized official of this NPI record is Lisa H. Wong Psy.d. (Acting Director)

NPI
1366853491 Verify this NPI
Provider Legal Name
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Other Organization Name
DMH DHS COLLABORATION LOMITA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1403 WEST LOMITA BLVD., 2ND FLOOR, CLINIC B HARBOR CITY, CA 90710
Location Phone
(213) 738-3111
Location Fax
(213) 386-5282
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
05-12-2014
Last Update Date
08-18-2022
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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

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA H. WONG PSY.D.

Authorized Official Title
ACTING DIRECTOR
Authorized Official Phone
(213) 738-4601

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
7892MEDICAID (05)CA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366853491, enumerated as an "organization" on May 12, 2014.

The provider is located at 1403 WEST LOMITA BLVD., 2ND FLOOR, CLINIC B HARBOR CITY, CA 90710 and the phone number is (213) 738-3111.

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.