MEDICARE: CHILDREN'S INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7780A	OTHER	CA	LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

General Provider Information

NPI Number	:	1437277415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S INSTITUTE INC

Provider Business Mailing Address
First Line	:	2121 W TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4915
Country	:	US
Telephone Number	:	213-385-5100
Fax Number	:	213-260-7791

Provider Business Practice Location Address
First Line	:	679 S HAMPSHIRE
Second Line	:	SUITES 310
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	213-385-5100
Fax Number	:	213-807-1990

Authorized Official
Title or Position	:	CEO
Name	:	MS. MARTINE SINGER
Credential	:
Telephone Number	:	213-385-5100

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	01/18/2017

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Directions to “CHILDREN'S INSTITUTE INC ” Practice Location

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