Provider Demographics
NPI:1790396968
Name:COUNTY OF LOS ANGELES
Entity type:Organization
Organization Name:COUNTY OF LOS ANGELES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATEVOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-210-4350
Mailing Address - Street 1:14445 OLIVE VIEW DR
Mailing Address - Street 2:SUITE 2C155
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:323-914-7773
Mailing Address - Fax:747-210-3044
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:CLINIC A EXAM ROOM 1-11
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1438
Practice Address - Country:US
Practice Address - Phone:747-210-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LOS ANGELES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-12
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital