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	101Y00000X	Counselor
2	103K00000X	Behavior Analyst
3	106H00000X	Marriage & Family Therapist
4	106S00000X	Behavior Technician
5	224Z00000X	Occupational Therapy Assistant
6	225100000X	Physical Therapist
7	2251P0200X	Pediatric Physical Therapist
8	225200000X	Physical Therapy Assistant
9	225X00000X	Occupational Therapist
10	225XP0200X	Pediatric Occupational Therapist
11	2355S0801X	Speech-Language Assistant
12	235Z00000X	Speech-Language Pathologist
13	252Y00000X	Early Intervention Provider Agency
14	302F00000X	Exclusive Provider Organization	43402320	CA
15	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1659535052
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	:	213-607-4352

Provider Business Practice Location Address
First Line	:	1015 WILSHIRE BLVD STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2415
Country	:	US
Telephone Number	:	213-607-4400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. MEAGHAN J DONAHUE
Credential	:	ED.D
Telephone Number	:	323-341-5580

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	07/15/2024

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