Provider Demographics
NPI:1194288852
Name:COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Entity type:Organization
Organization Name:COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF-CONSOLIDATED BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-914-7622
Mailing Address - Street 1:1403 LOMITA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710
Mailing Address - Country:US
Mailing Address - Phone:310-534-6221
Mailing Address - Fax:
Practice Address - Street 1:1403 LOMITA BLVD
Practice Address - Street 2:SUITE 102, ROOMS 1-26 & CONFERENCE ROOM
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710
Practice Address - Country:US
Practice Address - Phone:310-534-6221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LOS ANGELES-AUDITOR CONTROLLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-10
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center