| Children's Hospital Los Angeles Medical Group, Inc. | |
|
4650 W Sunset Blvd Los Angeles CA 90027-6062 | |
| (323) 660-2450 | |
| Not Available |
| Full Name | Children's Hospital Los Angeles Medical Group, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 4650 W Sunset Blvd, Los Angeles, California |
| Authorized Official Name and Position | Mark Sadamitsu (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3233612106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Los Angeles Medical Group, Inc. 3701 Wilshire Blvd Ste 600 Los Angeles CA 90010-2814 Ph: (323) 361-2336 | Children's Hospital Los Angeles Medical Group, Inc. 4650 W Sunset Blvd Los Angeles CA 90027-6062 Ph: (323) 660-2450 |
| NPI Number | 1356960660 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356960660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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