NPI Code Details Logo

NPI 1902157266

NPI 1902157266 : TEACH, INCORPORATED : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1902157266
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TEACH, INCORPORATED 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/27/2012
-----------------------------------------------------
    Last Update Date     |    09/27/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4711 11TH AVE 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90043-5438
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-777-2068
-----------------------------------------------------
    Fax                  |    323-777-7143
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8477 S NORMANDIE AVE 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90044-2246
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-777-2068
-----------------------------------------------------
    Fax                  |    323-777-7143
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |    MRS. MILDRED SCOTT CUNNINGHAM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    323-777-2068
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251300000X
-----------------------------------------------------
    Taxonomy Name        |    Local Education Agency (LEA)
-----------------------------------------------------
    License Number       |    17053076005044
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.