Organization · Type 2 NPI

Children's Hospital Los Angeles Medical Group

Pediatric Surgery Physician · Los Angeles, CA

NPI number 1124203872 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

3250 Wilshire Blvd Ste 1101
Los Angeles, CA 90010-1513

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1124203872

Children's Hospital Los Angeles Medical Group's National Provider Identifier is 1124203872, issued on Dec 31, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2024.