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CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP NPI 1124203872


NPI Information

NPI: 1124203872
Provider Name: CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
4650 W SUNSET BLVD # 72
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2289
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CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP is a pediatric surgery surgery in Los Angeles, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP NPI is 1124203872. 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 # 72
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2289

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 1/6/2020.


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
12086S0120XSurgeryPediatric SurgeryYes

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
1GR006667KMEDICAIDCALIFORNIA

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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