Healthcare Provider Details

I. General information

NPI: 1346283140
Provider Name (Legal Business Name): CITY OF HOPE NATIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

1500 DUARTE RD
DUARTE CA
91010-3012
US

V. Phone/Fax

Practice location:
  • Phone: 626-256-4673
  • Fax: 626-301-8315
Mailing address:
  • Phone: 626-256-4673
  • Fax: 626-301-8315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHSP18518
License Number StateCA

VIII. Authorized Official

Name: CARL KILDOO
Title or Position: SENIOR DIRECTOR
Credential: PHARM.D.
Phone: 626-301-8833