MEDICARE: TOTAL EDUCATION SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization		OH

General Provider Information

NPI Number	:	1174875546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL EDUCATION SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	99 PASADENA AVE STE 10C
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-6142
Country	:	US
Telephone Number	:	323-404-1026
Fax Number	:

Provider Business Practice Location Address
First Line	:	3428 W MARKET ST
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3339
Country	:	US
Telephone Number	:	330-668-4041
Fax Number	:	330-666-5626

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MORGAN MEDINA
Credential	:
Telephone Number	:	323-404-1026

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	06/22/2023

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