CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. (NPI# 1588862130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588862130 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. |
| Practice Address |
4650 W Sunset Blvd Ms# 54 Los Angeles CA 90027 |
| Mailing Address |
3701 Wilshire Blvd Ste 600 Los Angeles CA 90010-2814 |
| Practice Telephone | 3233615653 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MARK SADAMITSU (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3233612329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0066679 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960660 | Children's Hospital Los Angeles Medical Group, Inc. | Internal Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-04-16 |
| 1235314980 | Children's Hospital Los Angeles Medical Group, Inc. | Otolaryngology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1376741918 | Children's Hospital Los Angeles Medical Group, Inc. | Anesthesiology | 4650 W Sunset Blvd, Ms#3, Los Angeles, CA 90027 | 2007-07-05 |
| 1265530653 | Children's Hospital Los Angeles Medical Group, Inc. | Pediatrics | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2006-09-20 |
| Street Address |
4650 W SUNSET BLVD MS# 54 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
| 1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
| 1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
| 1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
| 1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
| 1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
| 1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
| 1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
| 1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1700012317 | Paibel Ixia Aguayo-hiraldo | Pediatrics | 4650 W Sunset Blvd # M54, Los Angeles, CA 90027 | 2009-06-09 |
| 1578746889 | Toska J Zomorodian | Pediatrics | 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 | 2007-12-10 |
| 1861512881 | Michael Marvin Siegel | Pediatrics | 2716 Creston Dr, Los Angeles, CA 90068-2210 | 2007-03-31 |
| 1225107410 | Robert Charles Seeger | Pediatrics | 4650 W Sunset Blvd # 57, Los Angeles, CA 90027-6062 | 2006-11-06 |
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1386275881 | Jennifer Haas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-02-03 |
| 1588097950 | Vasilios Berdoukas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-08-20 |
| 1255770046 | Kristiyana Ivanova Kaneva | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-06-14 |
| 1730522194 | Theodore Scott Nowicki | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2013-04-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.