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Contact Information

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
4650 W SUNSET BLVD
LOS ANGELES, CA90027-6062
 Phone: 323-361-5836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pathology

207ZP0213X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP

NPI Number 1790960441
LBN Legal business name CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
Authorized official JAMES LIN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2007
Last updated 07/01/2024 - More than a year ago
Identifiers
CA Medicaid GR006667U
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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