# LOS ANGELES UNIFIED SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699187484
- **Authorized official:** MS. ROBERTA VILLANUEVA NP (LEAD NURSE PRACTITIONER)
- **Authorized official phone:** (213) 202-7533

## Contact information

- **Practice address:** 121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
- **Practice address phone:** (213) 202-7533
- **Practice address fax:** (213) 580-6557
- **Mailing address:** 121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
- **Mailing address phone:** (213) 202-7533
- **Mailing address fax:** (213) 580-6557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 23764 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 05/28/2014