1609432251 NPI number — PARENTS. EDUCATORS/TEACHERS & STUDENTS IN ACTION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609432251 NPI number — PARENTS. EDUCATORS/TEACHERS & STUDENTS IN ACTION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARENTS. EDUCATORS/TEACHERS & STUDENTS IN ACTION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609432251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18017 CHATSWORTH ST STE 337
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANADA HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91344-5608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-943-0613
Provider Business Mailing Address Fax Number:
818-781-8180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8727 VAN NUYS BLVD STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PANORAMA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91402-2467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-943-0613
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2019

Additional Information

Authorized Official

Authorized Official Last Name:
AMSTER
Authorized Official First Name:
SEYMOUR
Authorized Official Middle Name:
I
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
818-943-0613

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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