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UNIVERSITY CHILDRENS MEDICAL GROUP NPI 1669670212


NPI Information

NPI: 1669670212
Provider Name: UNIVERSITY CHILDRENS MEDICAL GROUP
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
4650 W SUNSET BLVD
MS#12
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2557
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UNIVERSITY CHILDRENS MEDICAL GROUP is a pediatric critical care medicine pediatrics in Los Angeles, CA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. UNIVERSITY CHILDRENS MEDICAL GROUP NPI is 1669670212. 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
MS#12
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2557

The provider's authorized official is Mark Sadamitsu .
The authorized official title is Chief Financial Officer and has the following contact phone number (323) 361-2109.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 10/18/2012.


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
12080P0203XPediatricsPediatric Critical Care 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
1GR006667BOTHERCALIFORNIAMEDICAID

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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