# CHILDRENS HOSPITAL OF LOS ANGELES

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

## Provider details

- **NPI number:** 1477803450
- **Authorized official:** MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
- **Authorized official phone:** (323) 361-2235

## Contact information

- **Practice address:** 4650 W SUNSET BLVD \# 61, LOS ANGELES, CA 90027-6062
- **Practice address phone:** (323) 361-8705
- **Practice address fax:** (323) 361-8065
- **Mailing address:** 4650 W SUNSET BLVD \# 61, LOS ANGELES, CA 90027-6062
- **Mailing address phone:** (323) 361-8705
- **Mailing address fax:** (323) 361-8065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 20A11202 | CA | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 10/21/2021