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Organization
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
Active
Organization
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LIN (CHIEF FINANCIAL OFFICER)
(323) 361-1601
Entity
Organization
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2350
Mailing address
3250 WILSHIRE BLVD STE 1101, LOS ANGELES, CA 90010-1513
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006667M
—
CA
Enumeration date
12/31/2007
Last updated
07/01/2024
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