NPIMap

Organization Active NPI

Children's Hospital Los Angeles

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1972628568
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RPS# 2006103 Issued in CA
Legal business name
CHILDREN'S HOSPITAL LOS ANGELES
Practice address
4650 W Sunset Blvd MSC #140
Los Angeles, CA 90027-6062
Phone
(323) 669-9235
NPI assigned
Mar 20, 2007
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
Student in an Organized Health Care Education/Training Program 390200000X RPS# 2006103 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd MSC #140
Los Angeles, CA 90027-6062

Mailing address

4650 W Sunset Blvd MSC #140
Los Angeles, CA 90027-6062
Phone (323) 669-9235

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Phcy16 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
#140
Los Angeles, CA 90027
Phone (323) 669-2350

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1972628568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD MSC #140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD MSC #140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "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": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "RPS# 2006103",
            "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.