Provider Demographics
NPI:1295956761
Name:NORTH LOS ANGELES COUNTY REGIONAL CENTER
Entity type:Organization
Organization Name:NORTH LOS ANGELES COUNTY REGIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:818-756-6200
Mailing Address - Street 1:15400 SHERMAN WAY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4271
Mailing Address - Country:US
Mailing Address - Phone:818-788-1900
Mailing Address - Fax:
Practice Address - Street 1:15400 SHERMAN WAY
Practice Address - Street 2:SUITE 170
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4271
Practice Address - Country:US
Practice Address - Phone:818-788-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management