1447311105 NPI number — COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Table of content: (NPI 1447311105)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447311105 NPI number — COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447311105
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14445 OLIVE VIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYLMAR
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91342-1437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-364-1555
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14445 OLIVE VIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYLMAR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91342-1437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-364-1555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RHEE
Authorized Official First Name:
CAROLYN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
818-364-3001

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  060000133 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7021275 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 071549201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100042460A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1203517 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60616700 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90606 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 93493300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3536700 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0235267 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3085305 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7260504 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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