Basic Information
Provider Information
NPI: 1447495072
EntityType: 2
ReplacementNPI:  
OrganizationName: CEDARS SINAI MEDICAL CENTER
LastName:  
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Mailing Information
Address1: 1661 S BUNDY DR APT 203
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900258603
CountryCode: US
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Practice Location
Address1: 1661 S BUNDY DR APT 203
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900258603
CountryCode: US
TelephoneNumber: 3104235161
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/11/2008
LastUpdateDate: 12/11/2008
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: NOAH
AuthorizedOfficialFirstName: MARK
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AuthorizedOfficialTitleorPosition: INTERNAL MEDICINE PROGRAM DIRECTOR
AuthorizedOfficialTelephone: 3104235161
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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