Organization
CHILDREN'S HOSPITAL LOS ANGELES
Active
Parent organization
CHILDREN'S HOSPITAL LOS ANGELES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL LOS ANGELES
Authorized official
MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
(323) 361-2235
Entity
Organization
Contact information
Practice address
509 S MYRTLE AVE, MONROVIA, CA 91016-2813
(323) 660-2450
(323) 361-7993
Mailing address
509 S MYRTLE AVE, MONROVIA, CA 91016-2813
(323) 660-2450
(323) 361-7993
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/21/2021
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