Provider Demographics
NPI:1144116856
Name:CALIFORNIA SCHOOL OF THE ARTS-SAN GABRIEL VALLEY
Entity type:Organization
Organization Name:CALIFORNIA SCHOOL OF THE ARTS-SAN GABRIEL VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OF ACADEMICS
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-321-4000
Mailing Address - Street 1:1401 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2523
Mailing Address - Country:US
Mailing Address - Phone:657-321-4000
Mailing Address - Fax:
Practice Address - Street 1:1401 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2523
Practice Address - Country:US
Practice Address - Phone:657-321-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty