Organization
CHLA TEACHING CLINICS LLC
Active
Other names
CHILDREN'S HOSPITAL LOS ANGELES (CHLA)
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE WOODS (DIRECTOR, PROVIDER NETWORK MGMT)
(323) 361-4136
Entity
Organization
Contact information
Practice address
468 E SANTA CLARA ST, ARCADIA, CA 91006-7228
(626) 795-7177
Mailing address
4650 W SUNSET BLVD # MS 87, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/26/2017
Last updated
04/19/2024
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