OrganizationActive
County of Los Angeles Auditor Controller
NPI 1821101643 · Clinic/Center · Palmdale, CA
Provider details
- NPI number
- 1821101643
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- County of Los Angeles Auditor Controller
- Organization subpart
- Yes
- Authorized official
- Beryl Brooks, Clinic Administrator(661) 471-4200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16921 E Avenue O Ste G
Palmdale, CA 93591-3045
Phone: (661) 945-8444
Street-level locationGet directions
Mailing address
16921 E Avenue O Ste G
Palmdale, CA 93591-3045
Other names (DBA / former)
- Doing business as
- Lake Los Angeles Community Clinic
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.