Children's Hospital Los Angeles Medical Group, Inc., NPI 1265530653
Multi-Specialty Clinic/Center in Los Angeles, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1265530653
NPI Entity Type Organization
Provider Name Children's Hospital Los Angeles Medical Group, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4650 Sunset Blvd, Los Angeles, CA, US
Provider Mailing Address 3701 Wilshire Blvd. Ste. 600, Los Angeles, CA, US, 90010
Is Sole Proprietor? No
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Organization Official

Official Name Mark Sadamitsu
Official Position CHIEF FINANCIAL OFFICER
Phone 323-361-2106

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QM1300X

Taxonomy Name Multi-Specialty Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Children's Hospital Los Angeles Medical Group, Inc.
4650 Sunset Blvd

Los Angeles, CA, US

Phone: 323-361-2337
Fax: 323-361-8491

Mailing Address

Children's Hospital Los Angeles Medical Group, Inc.
3701 Wilshire Blvd. Ste. 600
Los Angeles, CA, US
ZIP 90010
Phone: 323-361-2337
Fax: 323-361-8491

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
GR0066679 CA MEDICAID AND CALOPTIMA GR 01
GR006667D CA MEDICAID AND CALOPTIMA GR 01
GR0066674 CA MEDICAID AND CALOPTIMA GR 01
GR0066675 CA MEDICAID 05
GR0066677 CA MEDICAID AND CALOPTIMA GR 01
GR006667E CA MEDICAID AND CALOPTIMA GR 01
GR0066671 CA MEDICAID & CALOPTIMA GROU 01
GR006667B CA MEDICAID AND CALOPTIMA GR 01
GR006667C CA MEDICAID AND CALOPTIMA GR 01
G9087701 CA MEDICAID AND CALOPTIMA GR 01
GR0066676 CA MEDICAID AND CALOPTIMA GR 01
GR006667F CA MEDICAID AND CALOPTIMA GR 01
GR0066678 CA MEDICAID AND CALOPTIMA GR 01
GR0066670 CA MEDICAID AND CALOPTIMA GR 01
GR0066675 CA MEDICAID AND CALOPTIMA GR 01
GR006667A CA MEDICAID AND CALOPTIMA GR 01
GR0066672 CA MEDICAID & CALOPTIMA GROU 01
GR0066673 CA MEDICAID AND CALOPTIMA GR 01
GR006667G CA MEDICAID AND CALOPTIMA GR 01

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

DR. MD Manraj Singh Sekhon

Individual

Student in an Organized Health Care Education/Training Program

14350 Meridian Parkway

Riverside, CA

1043930449

MRS. FNP Rupinderjit Kaur

Individual

Family Nurse Practitioner

4120 Dublin Blvd

Dublin, CA

1083182836

Lorraine Elizabeth Bishop

Individual

Behavior Technician

1811 Grand Canal Blvd Ste 2

Stockton, CA

1073247417

Conor Kelly

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Addiction (Substance Use Disorder) Counselor

380 Encinal St Ste 200

Santa Cruz, CA

1700525607

MA Nicole Phyllis Bermensolo

Individual

Group Psychotherapy Psychologist

10586 W Pico Blvd # 257

Los Angeles, CA

1477168409

BA SLPA Anna Shurilla

Individual

Speech-Language Assistant

500 W Central Ave Ste B

Brea, CA

1154881787

Keith Chung

Individual

11015 Bloomfield Ave

Santa Fe Springs, CA

1578283495

RD, CNSC Jessica Ann Mumaugh

Individual

Registered Dietitian

1 Hoag Dr

Newport Beach, CA

1073277828

MS. PA-C Leia Binh Tang

Individual

Physician Assistant

12462 Putnam St Ste 501

Whittier, CA

1881220341

Heidi Velasquez

Individual

Mental Health Counselor

470 E 3rd St Ste C

Los Angeles, CA

1083776496

DR. D.C. Julio Cesar Fassino

Individual

Chiropractor

20321 Sw Acacia St Ste 100

Newport Beach, CA

1174949879

Alayne Dhamecha

Individual

Clinical Social Worker

23046 Anza Ave

Torrance, CA

1164908554

Jacqueline Daphnee Surpin

Individual

Counselor

730 Medical Center Ct

Chula Vista, CA

1306211669

Kacey Hu

Individual

Neurology Physician

2051 Marengo St

Los Angeles, CA

1720613144

AMFT Johanna Belen Brubaker

Individual

Marriage & Family Therapist

474 W Vermont Ave

Escondido, CA

1922723485

April Waight

Individual

Behavior Technician

1200 Concord Ave Ste 100

Concord, CA

1346513611

Catherine S. Montemayor

Individual

Family Nurse Practitioner

4150 Clement St

San Francisco, CA

1356093884

LMFT Jeremey Sulker-hall

Individual

Marriage & Family Therapist

31200 Via Colinas Ste 202

Westlake Village, CA

1306109053

M.D., M.P.H. Vivek Datta

Individual

Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

1265563514

MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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