MEDICARE: GABRIELLA CHARTER SCHOOLS

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1306776885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIELLA CHARTER SCHOOLS

Provider Business Mailing Address
First Line	:	1435 LOGAN ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 LOGAN ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3307
Country	:	US
Telephone Number	:	213-413-5741
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL PROJECTS
Name	:	MALCOLM BROWN
Credential	:
Telephone Number	:	213-413-5741

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “GABRIELLA CHARTER SCHOOLS ” Practice Location

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