Healthcare Provider Details

I. General information

NPI: 1942010582
Provider Name (Legal Business Name): PUENTE LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BOYLE AVE
LOS ANGELES CA
90033-3816
US

IV. Provider business mailing address

501 S BOYLE AVE
LOS ANGELES CA
90033-3816
US

V. Phone/Fax

Practice location:
  • Phone: 323-780-8900
  • Fax: 323-780-0359
Mailing address:
  • Phone: 323-780-8900
  • Fax: 323-780-0359

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: MS. ANDREA GRIEGO
Title or Position: SENIOR GRANTS OFFICER
Credential:
Phone: 323-780-7545