Animo Locke Tech Charter High School

LBN: Animo Locke Tech Charter High School
Animo Locke Tech Charter High School is an health care organization with primary practice located at 810 E. 111Th Street Room # 113 & 114, Los Angeles CA 90001. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Animo Locke Tech Charter High School can be contacted via phone (323) 585-8985, or through Dixon, Ronda Renee via phone (323) 988-3744.

Contact Information

Primary practice address
810 E. 111Th Street Room # 113 & 114 Los Angeles CA 90001
Fax:
Website:
Authorized official contact:
Name: Dixon, Ronda Renee JD

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 190622AN California

Profile Details

NPI number 1790050763
LBN Legal business name Animo Locke Tech Charter High School
DBA Doing business as
Authorized official Dixon, Ronda Renee JD
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2012
Last updated Mar 27th, 2012 - about 13 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 1790050763 NPPES
California MEDICAID 7336
California MEDICAID 197336

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