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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