Organization
CHILDREN'S HOSPITAL LOS ANGELES
Active
Other names
Children's Hospital Los Angeles Specialty Pharmacy
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 RM 1503, LOS ANGELES, CA 90027-6062
(323) 361-8839
(323) 361-7135
Mailing address
4650 W SUNSET BLVD RM 1503, LOS ANGELES, CA 90027-6062
(323) 361-8839
(323) 361-7135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
53922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158723
PK
—
Enumeration date
10/15/2013
Last updated
10/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up