Provider Demographics
NPI:1326509118
Name:TASKIDS LOS ANGELES, INC.
Entity Type:Organization
Organization Name:TASKIDS LOS ANGELES, INC.
Other - Org Name:TASKIDS LOS ANGELES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:A
Authorized Official - Last Name:IRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-415-5016
Mailing Address - Street 1:2201 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3804
Mailing Address - Country:US
Mailing Address - Phone:714-683-5876
Mailing Address - Fax:888-420-6257
Practice Address - Street 1:1000 S FREMONT AVE UNIT 63
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8824
Practice Address - Country:US
Practice Address - Phone:714-683-5876
Practice Address - Fax:888-420-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty