MEDICARE: CEDARS-SINAI MEDICAL CARE FOUNDATION

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1919	OTHER		LOC

General Provider Information

NPI Number	:	1871168930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDARS-SINAI MEDICAL CARE FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 54679
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90054-0679
Country	:	US
Telephone Number	:	310-967-1631
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 SANTA MONICA BLVD
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-1954
Country	:	US
Telephone Number	:	310-453-1871
Fax Number	:

Authorized Official
Title or Position	:	CLIENT SERVICE MANAGER
Name	:	SHIREEN BRIONES
Credential	:
Telephone Number	:	310-967-1971

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/21/2021

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Directions to “CEDARS-SINAI MEDICAL CARE FOUNDATION ” Practice Location

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