Provider Demographics
NPI:1609368471
Name:CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, INC.
Entity Type:Organization
Organization Name:CHILDREN'S HEALTH ALLIANCE OF MEDICAL PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. FINANCIAL ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GODINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-361-6449
Mailing Address - Street 1:4601 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6020
Mailing Address - Country:US
Mailing Address - Phone:323-361-6449
Mailing Address - Fax:
Practice Address - Street 1:4601 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6020
Practice Address - Country:US
Practice Address - Phone:323-361-6449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty