Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Case Manager/Care Coordinator |
171M00000X | |||
Critical Access Hospital |
261QC0050X | |||
Urgent Care |
261QU0200X |
| NPI # | 1124073366 |
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| LBN Legal business name | CHILDRENS HOSPITAL OF LOS ANGELES | ||||||||||||||||||||||||||||
| Authorized official | MAX LIEBERENZ - (SR.VP/CFO) | ||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||
| Enumeration date | 05/24/2006 | ||||||||||||||||||||||||||||
| Last updated | 03/18/2025 - More than a year ago | ||||||||||||||||||||||||||||
| Identifiers |
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