OrganizationActive
County of Los Angeles Department of Mental Health
NPI 1114331139 · Point of Service · Los Angeles, CA
Provider details
- NPI number
- 1114331139
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Parent organization
- County of Los Angeles Department of Mental Health
- Organization subpart
- Yes
- Authorized official
- Marvin Southard, D.s.w., Director(213) 738-4601
Specialties & taxonomies
Managed Care Organizations
Practice location
1605 Eastlake Ave
2nd Floor
Los Angeles, CA 90033-1009
Phone: (323) 226-8826
Fax: (323) 226-8820
Approximate (ZIP-level) locationGet directions
Mailing address
1605 Eastlake Avenue
Los Angeles, CA 90033
Other names (DBA / former)
- Former legal business name
- Central Juvenile Hall Mental Health Unit
Registry dates
- Enumerated
- 2014-06-18
- Last updated
- 2014-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.