Healthcare Provider Details

I. General information

NPI: 1427523216
Provider Name (Legal Business Name): TUTOR CORPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 10/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5042 WILSHIRE BLVD
LOS ANGELES CA
90036-4305
US

IV. Provider business mailing address

5042 WILSHIRE BLVD # 37217
LOS ANGELES CA
90036-4305
US

V. Phone/Fax

Practice location:
  • Phone: 310-905-6699
  • Fax:
Mailing address:
  • Phone: 310-905-6699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ANNA SCHELL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 415-320-5180