CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. (NPI# 1265530653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265530653 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. |
| Practice Address |
4650 Sunset Blvd Los Angeles CA 90027 |
| Mailing Address |
3701 Wilshire Blvd. Ste. 600 Los Angeles CA 90010 |
| Practice Telephone | 3233612337 |
| Practice Fax Number | 3233618491 |
| Mailing Telephone | 3233612337 |
| Mailing Fax Number | 3233618491 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MARK SADAMITSU (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3233612106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAID AND CALOPTIMA GR | GR0066670 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066677 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066678 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667F | 01 |
| CA | MEDICAID AND CALOPTIMA GR | G9087701 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667G | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066675 | 01 |
| CA | MEDICAID & CALOPTIMA GROU | GR0066671 | 01 |
| CA | MEDICAID & CALOPTIMA GROU | GR0066672 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066673 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066674 | 01 |
| CA | GR0066675 | 05 | |
| CA | MEDICAID AND CALOPTIMA GR | GR0066679 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667B | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667A | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667E | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR0066676 | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667C | 01 |
| CA | MEDICAID AND CALOPTIMA GR | GR006667D | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960660 | Children's Hospital Los Angeles Medical Group, Inc. | Internal Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-04-16 |
| 1235314980 | Children's Hospital Los Angeles Medical Group, Inc. | Otolaryngology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1376741918 | Children's Hospital Los Angeles Medical Group, Inc. | Anesthesiology | 4650 W Sunset Blvd, Ms#3, Los Angeles, CA 90027 | 2007-07-05 |
| 1588862130 | Children's Hospital Los Angeles Medical Group, Inc. | Pediatrics | 4650 W Sunset Blvd, Ms# 54, Los Angeles, CA 90027 | 2007-07-05 |
| Street Address |
4650 SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456101 | Wendy Seto Leung | Nurse Practitioner | 4650 Sunset Blvd, Mail Stop #54, Los Angeles, CA 90027-6016 | 2006-06-16 |
| 1780203562 | Griselda Potka | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-13 |
| 1124647334 | John J Arsenault | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-09 |
| 1336768381 | Lauren Nichols | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-09 |
| 1962976423 | Susan Elizabeth Parada | Dietitian, Registered | 4650 Sunset Blvd, Ms # 8, Los Angeles, CA 90027 | 2019-01-17 |
| 1447745807 | Elizabeth Blotky | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Residency Office, Los Angeles, CA 90027 | 2018-06-28 |
| 1669977633 | Kelsey Johnson | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Ms#68, Los Angeles, CA 90027 | 2018-03-29 |
| 1609371251 | Alexandra Bailin | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2018-03-27 |
| 1477057479 | Sarah Carpenter | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Ms #68, Los Angeles, CA 90027 | 2018-03-23 |
| 1710408919 | Mary Kathleen Klier | Dietitian, Registered | 4650 Sunset Blvd, Ms # 8, Los Angeles, CA 90027 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1699245654 | Evolved, Inc. | Clinic/Center | 10573 W Pico Blvd Unit 414, Los Angeles, CA 90064-2333 | 2018-12-03 |
| 1164999215 | Bobby Pezeshki Md Inc | Clinic/Center | 2011 Wilshire Blvd Ste 300, Los Angeles, CA 90057-3503 | 2018-10-26 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1275030009 | M Pakour Md Inc | Clinic/Center | 3671 W 6th St Ste B, Los Angeles, CA 90020-3026 | 2018-04-09 |
| 1083142376 | Advanced Hematology Oncology Medical Group Inc | Clinic/Center | 6221 Wilshire Blvd Ste 504, Los Angeles, CA 90048-5223 | 2017-05-31 |
| 1033516943 | Uc Regents | Clinic/Center | 10833 Le Conte, Los Angeles, CA 90095-1752 | 2014-11-21 |
| 1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
| 1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.