UNIVERSITY CHILDRENS MEDICAL GROUP (NPI# 1790960441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790960441 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CHILDRENS MEDICAL GROUP |
| Practice Address |
4650 W Sunset Blvd # 43 Los Angeles CA 90027-6062 |
| Mailing Address |
6430 W Sunset Blvd Ste 600 Los Angeles CA 90028-7909 |
| Practice Telephone | 3233615836 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MARK SADAMITSU (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3233612345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006667U | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1932384682 | University Childrens Medical Group | Pediatrics | 4650 W Sunset Blvd # 83, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1073798716 | University Childrens Medical Group | Ophthalmology | 4650 W Sunset Blvd # 88, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1033394788 | University Childrens Medical Group | Plastic Surgery | 4650 W Sunset Blvd # 96, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1699950337 | University Childrens Medical Group | Neurological Surgery | 4650 W Sunset Blvd # 102, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1386829034 | University Childrens Medical Group | Urology | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1114102860 | University Childrens Medical Group | Psychiatry & Neurology | 4650 W Sunset Blvd # 115, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1508041245 | University Childrens Medical Group | Optometrist | 4650 W Sunset Blvd # 88, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1871778514 | University Childrens Medical Group | Orthopaedic Surgery | 4650 W Sunset Blvd # 69, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Street Address |
4650 W SUNSET BLVD # 43 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| 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 | 207ZP0213X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Pediatric Pathology |
| A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715529 | Murad Alturkustani | Pathology | 620 S Virgil Ave Apt 252, Los Angeles, CA 90005-4082 | 2019-08-15 |
| 1265875256 | Le Le Aye | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-04-09 |
| 1982993580 | Jennifer Ann Cotter | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-04-04 |
| 1568785004 | Chintan Parekh | Pathology | 4650 W Sunset Blvd, Mail Stop 54, Los Angeles, CA 90027-6062 | 2010-03-11 |
| 1528298346 | Matthew J Oberley | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2009-07-15 |
| 1780824359 | Masoud Shamszadeh | Pathology | 4650 W Sunset Blvd, Ms #43, Los Angeles, CA 90027-6062 | 2009-02-23 |
| 1346404969 | Nick Melvin Shillingford | Pathology | 4650 W Sunset Blvd, Ms # 43, Los Angeles, CA 90027 | 2008-07-13 |
| 1114125283 | Mikako Warren | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-07-10 |
| 1689773269 | Clark B Inderlied | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-09-21 |
| 1881792711 | Timothy J Triche | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-09-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on UNIVERSITY CHILDRENS MEDICAL GROUP.
| 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.