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) 666-7816
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
(323) 666-7816
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT40123F
—
CA
Enumeration date
10/25/2006
Last updated
10/21/2021
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