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UNIVERSITY CHILDRENS MEDICAL GROUP NPI 1790960441


NPI Information

NPI: 1790960441
Provider Name: UNIVERSITY CHILDRENS MEDICAL GROUP
Classification: Pathology - 207ZP0213X
Entity Type: Organization

Specialization: Pediatric Pathology

Address:
4650 W SUNSET BLVD # 43
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-5836
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UNIVERSITY CHILDRENS MEDICAL GROUP is a pediatric pathology pathology in Los Angeles, CA. The provider is a pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. UNIVERSITY CHILDRENS MEDICAL GROUP NPI is 1790960441. 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 # 43
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-5836

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
1207ZP0213XPathologyPediatric PathologyYes

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
1GR006667UMEDICAIDCALIFORNIA

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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