OrganizationActive
Children'S Hospital Los Angeles
NPI 1760766802 · Eyewear Supplier · Monrovia, CA
Provider details
- NPI number
- 1760766802
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Children'S Hospital Los Angeles
- Authorized official
- Max Lieberenz, Sr.vp/Cfo
Practice location
509 S Myrtle Ave
Monrovia, CA 91016-2813
Phone: (323) 660-2450
Fax: (323) 361-7993
Mailing address
509 S Myrtle Ave
Monrovia, CA 91016-2813
Registry dates
- Enumerated
- 2011-10-07
- Last updated
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.