CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.


Address: 4650 W Sunset Blvd, Ms# 54, Los Angeles, CA 90027
Phone: 3233615653

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. (NPI# 1588862130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588862130
Entity Type Organization
Organization Name CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
Practice Address 4650 W Sunset Blvd
Ms# 54
Los Angeles
CA 90027
Mailing Address 3701 Wilshire Blvd Ste 600
Los Angeles
CA 90010-2814
Practice Telephone 3233615653
Enumeration Date 2007-07-05
Last Update Date 2020-01-06
Authorized Official Name MARK SADAMITSU (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3233612329
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0066679 05

Other Provider IDs and Locations

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
1265530653 Children's Hospital Los Angeles Medical Group, Inc. Pediatrics 4650 Sunset Blvd, Los Angeles, CA 90027 2006-09-20

Office Location

Street Address 4650 W SUNSET BLVD
MS# 54
City LOS ANGELES
State CA
Zip Code 90027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144223926 Fariba Navid Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2005-05-24
1811596810 Samih Samaha Social Worker 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-21
1437756988 Amanda Ruth Mendelis Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-07
1124638119 Hayden Mensah Mbroh Rehabilitation Counselor 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-04
1619587854 Allyssa Marie Asperin Cayago Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-03
1134739592 Alison Coombs Physical Therapist 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-07-31
1679190482 Jearelly Pinedo Registered Nurse 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-26
1124644901 Corey Hacker Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-17
1720602667 Bhavna Shah Physical Therapist 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 2020-06-06
1023632528 Bethany L Burdick Student in an Organized Health Care Education/Training Program 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-01
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457991143 George Michaiel Pediatrics 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 2020-01-09
1700012317 Paibel Ixia Aguayo-hiraldo Pediatrics 4650 W Sunset Blvd # M54, Los Angeles, CA 90027 2009-06-09
1578746889 Toska J Zomorodian Pediatrics 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 2007-12-10
1861512881 Michael Marvin Siegel Pediatrics 2716 Creston Dr, Los Angeles, CA 90068-2210 2007-03-31
1225107410 Robert Charles Seeger Pediatrics 4650 W Sunset Blvd # 57, Los Angeles, CA 90027-6062 2006-11-06
1144223926 Fariba Navid Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2005-05-24
1386275881 Jennifer Haas Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-02-03
1588097950 Vasilios Berdoukas Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2013-08-20
1255770046 Kristiyana Ivanova Kaneva Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2013-06-14
1730522194 Theodore Scott Nowicki Pediatrics 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 2013-04-16
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90027

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Dataset Information

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.

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