Organization
CHILDRENS HOSPITAL OF 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 # 61, LOS ANGELES, CA 90027-6062
(323) 361-8705
(323) 361-8065
Mailing address
4650 W SUNSET BLVD # 61, LOS ANGELES, CA 90027-6062
(323) 361-8705
(323) 361-8065
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
20A11202
CA
Other
Enumeration date
09/17/2012
Last updated
10/21/2021
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