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NPI Code Detail

MEDICARE: LARCHMONT CHARTER SCHOOL

MEDICARE: LARCHMONT CHARTER SCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1770454308
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARCHMONT CHARTER SCHOOL
Provider Business Mailing Address
First Line : 606 N LARCHMONT BLVD STE 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-1309
Country : US
Telephone Number : 323-380-7893
Fax Number :
Provider Business Practice Location Address
First Line : 2801 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3113
Country : US
Telephone Number : 323-380-7893
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MARIA ALVARAO
Credential :
Telephone Number : 323-380-7893
Provider Enumeration Date : 09/16/2025
Last Update Date : 09/16/2025

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Directions to “LARCHMONT CHARTER SCHOOL ” Practice Location

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