Organization
BARACK H. OBAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA MILLER (CEO/PRESIDENT)
(310) 628-9512
Entity
Organization
Contact information
Practice address
19300 RINALDI ST, SUITE 8270, NORTHRIDGE, CA 91326-1651
(310) 682-9512
Mailing address
19300 RINALDI ST, SUITE 8270, NORTHRIDGE, CA 91326-1651
(310) 682-9512
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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