MEDICARE: CEDARS SINAI MEDICAL CENTER

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1639535743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDARS SINAI MEDICAL CENTER

Provider Business Mailing Address
First Line	:	8700 BEVERLY BLVD. SUITE 3622
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 BEVERLY BLVD. SUITE 3622
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048
Country	:	US
Telephone Number	:	310-423-7417
Fax Number	:

Authorized Official
Title or Position	:	RESIDENCY COORDINATOR
Name	:	CAROLINE BOYD
Credential	:
Telephone Number	:	310-423-7417

Provider Enumeration Date	:	01/05/2016
Last Update Date	:	01/05/2016

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