NPIMap

Organization Active NPI

Childrens Hospital of Los Angeles

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1477803450
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20A11202 Issued in CA
Legal business name
CHILDRENS HOSPITAL OF LOS ANGELES
Practice address
4650 W Sunset Blvd # 61
Los Angeles, CA 90027-6062
Phone
(323) 361-8705
Fax
(323) 361-8065
NPI assigned
Sep 17, 2012
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Max Scott Lieberenz, CPA
Title
Sr.VP/Cfo
Phone
(323) 361-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20A11202 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd # 61
Los Angeles, CA 90027-6062

Mailing address

4650 W Sunset Blvd # 61
Los Angeles, CA 90027-6062
Phone (323) 361-8705

National Provider Directory

National Provider Directory
Tax ID family
Childrens HSP of la Opd16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4650 W Sunset Blvd
#61
Los Angeles, CA 90027
Phone (323) 361-4606

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1477803450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD # 61",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-8705",
            "fax_number": "323-361-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD # 61",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-8705",
            "fax_number": "323-361-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "LIEBERENZ",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SR.VP/CFO",
        "authorized_official_telephone_number": "323-361-2235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.