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NPI Code Detail

MEDICARE: NYANSA LEARNING CORPORATION

MEDICARE: NYANSA LEARNING CORPORATION
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
1251S00000XCommunity/Behavioral Health Agency
2252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1942434741
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYANSA LEARNING CORPORATION
Provider Business Mailing Address
First Line : 640 N TUSTIN AVE STE 101
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 949-701-2740
Fax Number : 949-606-7089
Provider Business Practice Location Address
First Line : 640 N TUSTIN AVE STE 101
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 949-701-2740
Fax Number : 949-606-7089
Authorized Official
Title or Position : BUSINESS MANAGER
Name : CRISTINA MCDORMAN
Credential :
Telephone Number : 949-701-2740
Provider Enumeration Date : 05/07/2009
Last Update Date : 02/10/2020

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Directions to “NYANSA LEARNING CORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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