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General NPI Number Information
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NPI Number | 1467471995
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Entity Type | Organization
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Legal Business Name | CHA HOLLYWOOD MEDICAL CENTER LP
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-913-4989
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Fax | 323-913-4876
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-913-4989
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Fax | 323-913-4876
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROBERT L ALLEN
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Credential |
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Telephone | 323-913-4914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY47030
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY47030
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY47030
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License Number State | CA
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