Provider Demographics
NPI:1669627782
Name:LA COUNTY PROBATION DEPT.
Entity Type:Organization
Organization Name:LA COUNTY PROBATION DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPO LL
Authorized Official - Prefix:MR
Authorized Official - First Name:WINFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-586-6408
Mailing Address - Street 1:8526 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90001-4134
Mailing Address - Country:US
Mailing Address - Phone:323-586-6469
Mailing Address - Fax:
Practice Address - Street 1:8526 GRAPE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-4134
Practice Address - Country:US
Practice Address - Phone:323-586-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management