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1235012741 NPI number — LIFELINE EDUCATION CHARTER SCHOOL, CO.

NPI Number: 1235012741
Health Care Provider/Practitioner: LIFELINE EDUCATION CHARTER SCHOOL, CO.

Information about “1235012741” NPI (LIFELINE EDUCATION CHARTER SCHOOL, CO.) exists in 1235012741 in HTML format HTML  |  1235012741 in plain Text format TXT  |  1235012741 in PDF (Portable Document Format) PDF  |  1235012741 in an XML format XML  formats.

NPI Number : 1235012741 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235012741",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFELINE EDUCATION CHARTER SCHOOL, CO.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "161 W VICTORIA ST STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90805-2169",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-502-0415",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "225 S SANTA FE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMPTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90221-3240",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-605-2510",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2025",
    "LastUpdateDate": "07/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CORTEZ",
    "AuthorizedOfficialFirstName": "TINIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "COO",
    "AuthorizedOfficialTelephoneNumber": "310-605-2510",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251300000X",
        "TaxonomyName": "Local Education Agency (LEA)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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