Provider Demographics
NPI:1881391548
Name:CEDARS-SINAI MEDICAL CENTER
Entity type:Organization
Organization Name:CEDARS-SINAI MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP. FINANCE AND CRO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-385-3273
Mailing Address - Street 1:310 N SAN VICENTE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1810
Mailing Address - Country:US
Mailing Address - Phone:310-423-3277
Mailing Address - Fax:
Practice Address - Street 1:310 N SAN VICENTE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1810
Practice Address - Country:US
Practice Address - Phone:310-423-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CEDARS-SINAI MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-13
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT40625FMedicaid