Organization
CHLA TEACHING CLINICS LLC
Active
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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