| Children's Hospital Los Angeles Medical Group | |
|
4650 W Sunset Blvd # 115 Los Angeles CA 90027-6062 | |
| (323) 361-2350 | |
| Not Available |
| Full Name | Children's Hospital Los Angeles Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 4650 W Sunset Blvd # 115, 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 # 115 Los Angeles CA 90027-6062 Ph: (323) 361-2350 |
| NPI Number | 1114102860 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114102860 | NPI | - | NPPES |
| GRS000450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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