Provider Demographics
NPI:1932193992
Name:CEDARS-SINAI MEDICAL CENTER
Entity Type:Organization
Organization Name:CEDARS-SINAI MEDICAL CENTER
Other - Org Name:CEDARS-SINAI MEDICAL CENTER PHARMACY #6
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT, PFS
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KITTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-866-8722
Mailing Address - Street 1:8723 ALDEN DR.
Mailing Address - Street 2:S244
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1804
Mailing Address - Country:US
Mailing Address - Phone:310-423-7484
Mailing Address - Fax:310-423-0426
Practice Address - Street 1:8723 ALDEN DR.
Practice Address - Street 2:S244
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-5000
Practice Address - Fax:310-423-0426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY448033336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA448030Medicaid
CAPHA448030Medicaid