MEDICARE: SCHOOLS IN ACTION

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	:	1659989168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOLS IN ACTION

Provider Business Mailing Address
First Line	:	1241 S SOTO ST STE 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2672
Country	:	US
Telephone Number	:	323-266-4371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 S SOTO ST STE 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2672
Country	:	US
Telephone Number	:	323-266-4371
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KALIN BALCOMB
Credential	:
Telephone Number	:	323-266-4371

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

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Directions to “SCHOOLS IN ACTION ” Practice Location

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