# CHILDREN'S HOSPITAL LOS ANGELES

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

## Provider details

- **NPI number:** 1255455242
- **Authorized official:** MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
- **Authorized official phone:** (323) 361-2235

## Contact information

- **Practice address:** 3250 WILSHIRE BLVD, 5TH FLOOR, LOS ANGELES, CA 90010-1577
- **Practice address phone:** (323) 671-3849
- **Mailing address:** 8455 FOUNTAIN AVE, \#628, WEST HOLLYWOOD, CA 90069-2536
- **Mailing address phone:** (310) 266-2382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC43890 | CA | Yes |

## Other

- **Enumeration date:** 03/17/2007
- **Last updated:** 10/21/2021