Children's Hospital Los Angeles Medical Group, Inc., NPI 1265530653
Multi-Specialty Clinic/Center in Los Angeles, CA, US
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 |
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 | |
| Taxonomy Name | Multi-Specialty Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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 |
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|---|---|---|---|
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Jacqueline Daphnee Surpin Individual |
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April Waight Individual |
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Catherine S. Montemayor Individual |
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LMFT Jeremey Sulker-hall Individual |
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M.D., M.P.H. Vivek Datta Individual |
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MFT Yasmin Vishram-morris Individual |
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