Academia Moderna

LBN: Academia Moderna
Academia Moderna is an health care organization with primary practice located at 2410 Broadway , Walnut Park CA 90255-6342. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Academia Moderna can be contacted via phone (323) 251-7123, or through Reyes, Xavier via phone (323) 251-7123.

Contact Information

Primary practice address
2410 Broadway Walnut Park CA 90255-6342
Phone: (323) 251-7123
Fax: (323) 588-5354
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Xavier
Phone: (323) 251-7123

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X 0120097 California

Profile Details

NPI number 1275843369
LBN Legal business name Academia Moderna
DBA Doing business as
Authorized official Reyes, Xavier
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2010
Last updated Oct 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275843369 NPPES
California Other 0120097 LEA
California Other 19 64733 0120097 LEA

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