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NPI Code Detail

MEDICARE: CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, INC.

MEDICARE: CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, 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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1609368471
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, INC.
Provider Business Mailing Address
First Line : 4601 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6020
Country : US
Telephone Number : 323-361-6449
Fax Number :
Provider Business Practice Location Address
First Line : 4601 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6020
Country : US
Telephone Number : 323-361-6449
Fax Number :
Authorized Official
Title or Position : SR. FINANCIAL ANALYST
Name : MS. CYNTHIA GODINEZ
Credential :
Telephone Number : 323-361-6449
Provider Enumeration Date : 06/06/2018
Last Update Date : 06/06/2018

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Directions to “CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, INC. ” Practice Location

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