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UNIVERSITY CHILDRENS MEDICAL GROUP NPI 1295910941


NPI Information

NPI: 1295910941
Provider Name: UNIVERSITY CHILDRENS MEDICAL GROUP
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

Address:
4650 W SUNSET BLVD # 5
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2450
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UNIVERSITY CHILDRENS MEDICAL GROUP is a pediatric rehabilitation medicine physical medicine rehabilitation in Los Angeles, CA. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. UNIVERSITY CHILDRENS MEDICAL GROUP NPI is 1295910941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4650 W SUNSET BLVD # 5
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2450

The provider's authorized official is Mark Sadamitsu .
The authorized official title is Chief Financial Officer and has the following contact phone number (323) 361-2345.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR006667PMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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