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NPI 1851420079 · Mental Health Clinic/Center (Including Community Mental Health Center) · Los Angeles, CA
Provider details
- NPI number
- 1851420079
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phil Wong, Ceo(323) 644-2000
- License
- 930000058 (CA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 930000058 (CA)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 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
1891 Effie St
Los Angeles, CA 90026-1711
Phone: (323) 644-2000
Street-level locationGet directions
Mailing address
621 S Virgil Ave
Los Angeles, CA 90005-4000
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2017-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.