OrganizationActive
Department of Health Services
NPI 1043668023 · Prison Health Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1043668023
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michele Green, Nurse Practitioner Whcnp(310) 702-4285
- License
- 14185 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
450 Bauchet St
Msb ----Room E873
Los Angeles, CA 90012-2907
Phone: (323) 568-4550
Approximate (ZIP-level) locationGet directions
Mailing address
450 Bauchet St
Los Angeles, CA 90012-2907
Other names (DBA / former)
- Other name
- Los Angeles County Sheriff'S Department
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2016-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.