# CHILDREN'S HOSPITAL LOS ANGELES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093920993
- **Authorized official:** MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
- **Authorized official phone:** (323) 361-2235

## Contact information

- **Practice address:** 4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
- **Practice address phone:** (323) 660-2450
- **Practice address fax:** (323) 667-1283
- **Mailing address:** 3018 ANNITA DR, GLENDALE, CA 91206-1301
- **Mailing address phone:** (818) 246-2788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | RPE4139 | CA | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 10/21/2021