Healthcare Provider Details

I. General information

NPI: 1689587735
Provider Name (Legal Business Name): CALIFORNIA MONTESSORI PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330A GIBBONS DR STE 700
CARMICHAEL CA
95608-2117
US

IV. Provider business mailing address

5330A GIBBONS DR STE 700
CARMICHAEL CA
95608-2117
US

V. Phone/Fax

Practice location:
  • Phone: 916-971-2432
  • Fax:
Mailing address:
  • Phone: 916-971-2432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH YRIGOLLEN
Title or Position: DIRECTOR OF STUDENT SERVICES
Credential:
Phone: 916-971-2432