Healthcare Provider Details

I. General information

NPI: 1801709993
Provider Name (Legal Business Name): STELLA ELEMENTARY CHARTER ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 S MANSFIELD AVE
LOS ANGELES CA
90016-3512
US

IV. Provider business mailing address

2636 S MANSFIELD AVE
LOS ANGELES CA
90016-3512
US

V. Phone/Fax

Practice location:
  • Phone: 213-340-6700
  • Fax:
Mailing address:
  • Phone: 213-340-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANA MARTINEZ
Title or Position: LEAD EXECUTIVE OFFICER
Credential:
Phone: 310-970-4646