Organization
CHILDREN'S HOSPITAL LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
(323) 361-2235
Entity
Organization
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
(323) 667-1283
Mailing address
3018 ANNITA DR, GLENDALE, CA 91206-1301
(818) 246-2788
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
RPE4139
CA
Other
Enumeration date
05/14/2007
Last updated
10/21/2021
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