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EDMUND D. EDELMAN -- FSP PROGRAM
NPI 1467672295
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Active since April 26, 2007
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(310) 966-6538(310) 231-0684 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Jan 14, 2022, Oct 9, 2020 and 1 more (4 updates tracked since 2016).

About Edmund D. Edelman -- Fsp Program NPPES

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

EDMUND D. EDELMAN -- FSP PROGRAM (NPI 1467672295) is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Lisa H. Wong, Acting Director, as its authorized official.

NPPES Registry Identity

NPI1467672295
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1992 · (213) 738-4601
Phone(310) 966-6538
Fax(310) 231-0684
Organization SubpartYes
Authorized OfficialLisa H. WongActing Director · (213) 738-4601
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 4, 20224 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1467672295 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
11080 W OLYMPIC BLVD, Los Angeles, CA 90064
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Other Names 1

Doing Business AsEdmund D. Edelman -- Fsp Program

Other Identifiers 1

Medicaid1906CA

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.

YVETTE NICOLE VENEGAS
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 523-9193
KECIA MCDANIEL OTR
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DOLORES J GONZALEZ
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 388-1038
SOPHIA DANIELS
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MARIA FERNANDA BLANCO MENDOZA
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MR. EDWARD BURGOS NINO NP
Nurse Practitioner (Psychiatric/Mental Health)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 913-4310
DR. KENNETH S. CHUANG M.D.
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6513
MRS. JOVANA GOMEZ
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6579

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

The NPI number for County Of Los Angeles Department Of Mental Health is 1467672295. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Edmund D. Edelman -- Fsp Program.

Where is County Of Los Angeles Department Of Mental Health located?

County Of Los Angeles Department Of Mental Health is located at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (310) 966-6538.

What is County Of Los Angeles 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.

When was this NPI record last updated?

The NPPES record for County Of Los Angeles 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.