Chla Teaching Clinics LLC
Clinic/Center, Multi-Specialty in Arcadia, CA. Organization (NPI-2).
NPI number1669992152
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1669992152
- Entity type
- Organization (NPI-2)
- Legal business name
- Chla Teaching Clinics LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2017
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Children'S Hospital Los Angeles (Chla) (Other Name)
Practice location
468 E Santa Clara StArcadia, CA 91006-7228
Phone 626-795-7177
Mailing address
4650 W Sunset Blvd # Ms 87Los Angeles, CA 90027-6062
Other practice locations
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Torrance, CA 90503-5805
Phone 310-303-3890
Authorized official
Andre Woods
Director, Provider Network Mgmt
3233614136
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