Children's Hospital Los Angeles

NPI #1760766802 in Monrovia, California

Provider Information

NPI Number
1760766802
Entity Type
Organization
Organization Name
Children's Hospital Los Angeles
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDREN'S HOSPITAL LOS ANGELES
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 7, 2011
Last Updated
Oct 21, 2021

Practice Location

Address
509 S MYRTLE AVE
ZIP Code
91016-2813
Phone
(323) 660-2450

Authorized Official

Name
MR. MAX SCOTT LIEBERENZ, CPA
Title
SR.VP/CFO
Phone
(323) 361-2235

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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