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Contact Information

CHILDREN'S HOSPITAL LOS ANGELES
4650 W SUNSET BLVD RM 1503
LOS ANGELES, CA90027-6062
 Phone: 323-361-8839
 Fax: 323-361-7135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHILDREN'S HOSPITAL LOS ANGELES

NPI # 1659552636
LBN Legal business name CHILDREN'S HOSPITAL LOS ANGELES
Authorized official MAX LIEBERENZ - (SR. VP/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2007
Last updated 10/21/2021 - About 5 years ago
Identifiers
CA Medicaid 1659552636
Other 2062400 PK
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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