Healthcare Provider Details

I. General information

NPI: 1689504961
Provider Name (Legal Business Name): NEW VILLAGE GIRLS ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 N OCCIDENTAL BLVD
LOS ANGELES CA
90026-4601
US

IV. Provider business mailing address

147 N OCCIDENTAL BLVD
LOS ANGELES CA
90026-4601
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-4015
  • Fax:
Mailing address:
  • Phone: 213-385-4015
  • 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: ARJUN KUSHWAHA
Title or Position: DIRECTOR
Credential:
Phone: 310-462-5665