NPIMap

Organization Active NPI

Children'S Hospital Los Angeles

  • Eyewear Supplier
  • Monrovia, CA
National Provider Identifier
1760766802
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CHILDREN'S HOSPITAL LOS ANGELES
Practice address
509 S Myrtle Ave
Monrovia, CA 91016-2813
Phone
(323) 660-2450
Fax
(323) 361-7993
NPI assigned
Oct 7, 2011
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL LOS ANGELESAs reported in NPPES

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

509 S Myrtle Ave
Monrovia, CA 91016-2813

Mailing address

509 S Myrtle Ave
Monrovia, CA 91016-2813
Phone (323) 660-2450

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Phcy16 organizations share this tax ID, including this one
Part of
Childrens Hospital Phcy

Other organizations with this tax ID 15

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

View all 15

Locations

509 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 303-2030

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1760766802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162813",
            "telephone_number": "323-660-2450",
            "fax_number": "323-361-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162813",
            "telephone_number": "323-660-2450",
            "fax_number": "323-361-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL LOS ANGELES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL LOS ANGELES",
        "enumeration_date": "2011-10-07",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, 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.