Healthcare Provider Details

I. General information

NPI: 1306776885
Provider Name (Legal Business Name): GABRIELLA CHARTER SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 LOGAN ST
LOS ANGELES CA
90026-3307
US

IV. Provider business mailing address

1435 LOGAN ST
LOS ANGELES CA
90026-3307
US

V. Phone/Fax

Practice location:
  • Phone: 213-413-5741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MALCOLM BROWN
Title or Position: DIRECTOR OF SPECIAL PROJECTS
Credential:
Phone: 213-413-5741