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Contact Information

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
3250 WILSHIRE BLVD STE 300
LOS ANGELES, CA90010-1439
 Phone: 323-361-2153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP · (Female)

NPI # 1275718090
Status Active
Credentials
Entity Individual
Enumeration date 12/31/2007
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR006667S
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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