Healthcare Provider Details

I. General information

NPI: 1144116856
Provider Name (Legal Business Name): CALIFORNIA SCHOOL OF THE ARTS-SAN GABRIEL VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HIGHLAND AVE
DUARTE CA
91010-2523
US

IV. Provider business mailing address

1401 HIGHLAND AVE
DUARTE CA
91010-2523
US

V. Phone/Fax

Practice location:
  • Phone: 657-321-4000
  • Fax:
Mailing address:
  • Phone: 657-321-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICOLE READ
Title or Position: PRINCIPAL OF ACADEMICS
Credential:
Phone: 657-321-4000