| NPI | 1124073366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX SCOTT LIEBERENZ Sr.VP/CFO 323-361-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: CA 930000032) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-03-18 |