| Children's Hospital Los Angeles Medical Group | |
|
4650 W Sunset Blvd Ms# 116 Los Angeles CA 90027-6062 | |
| (323) 361-4131 | |
| Not Available |
| Full Name | Children's Hospital Los Angeles Medical Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4650 W Sunset Blvd, Los Angeles, California |
| Authorized Official Name and Position | James Lin (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3233611601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Los Angeles Medical Group 3250 Wilshire Blvd Ste 1101 Los Angeles CA 90010-1513 Ph: () - | Children's Hospital Los Angeles Medical Group 4650 W Sunset Blvd Ms# 116 Los Angeles CA 90027-6062 Ph: (323) 361-4131 |
| NPI Number | 1235337882 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235337882 | NPI | - | NPPES |
| G90877-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Zacoalco Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
Monterey Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
James C. Castelo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029 Phone: 323-666-3852 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 |