Provider Demographics
NPI:1043454846
Name:LOS ANGELES COUNTY PROBATION DEPT.
Entity Type:Organization
Organization Name:LOS ANGELES COUNTY PROBATION DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY PROBATION OFFICER II
Authorized Official - Prefix:MS
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:MBS
Authorized Official - Phone:626-308-5286
Mailing Address - Street 1:200 W WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3459
Mailing Address - Country:US
Mailing Address - Phone:626-308-5286
Mailing Address - Fax:626-308-5287
Practice Address - Street 1:200 W WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3459
Practice Address - Country:US
Practice Address - Phone:626-308-5286
Practice Address - Fax:626-308-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management