Organization
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
Active
Organization
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITTY WAN (CHIEF FINANCIAL OFFICER)
(323) 361-1601
Entity
Organization
Contact information
Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027
(323) 361-2337
(323) 361-8491
Mailing address
3250 WILSHIRE BLVD STE 1101, LOS ANGELES, CA 90010-1513
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9087701
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066670
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066671
MEDICAID & CALOPTIMA GROU
CA
01
—
GR0066672
MEDICAID & CALOPTIMA GROU
CA
01
—
GR0066673
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066674
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066675
MEDICAID AND CALOPTIMA GR
CA
05
—
GR0066675
—
CA
01
—
GR0066676
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066677
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066678
MEDICAID AND CALOPTIMA GR
CA
01
—
GR0066679
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667A
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667B
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667C
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667D
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667E
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667F
MEDICAID AND CALOPTIMA GR
CA
01
—
GR006667G
MEDICAID AND CALOPTIMA GR
CA
Enumeration date
09/20/2006
Last updated
04/08/2026
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