# SHRINERS HOSPITALS FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shriners for Children Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114358249
- **Authorized official:** LOU LAZATIN (ADMINISTRATOR)
- **Authorized official phone:** (213) 388-3151

## Contact information

- **Practice address:** 909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
- **Practice address phone:** (213) 388-3151
- **Practice address fax:** (213) 387-7528
- **Mailing address:** PO BOX 8500, LOCKBOX \#7642, PHILADELPHIA, PA 19178-7642
- **Mailing address phone:** (213) 388-3151
- **Mailing address fax:** (213) 387-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 02/01/2017