CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP – NPI #1104024744
Internal Medicine

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1104024744 to CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP on July 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adolescent Medicine

The NPI profile was last updated on Jul 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP below.

NPI Profile for
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP

NPI Number
1104024744
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
Primary location
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone: (323) 660-2450 Fax:
Mailing address
3250 WILSHIRE BLVD STE 1101
LOS ANGELES, CA 90010-1513
Phone: Fax:
Organization Subpart
No
Authorized Official
JAMES LIN
CHIEF FINANCIAL OFFICER
Phone: (323) 361-2336
Updated
Certification Date
Jul 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0000X
- Internal Medicine / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.