Provider Demographics
NPI:1578313607
Name:PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF LOS ANGELES
Entity Type:Organization
Organization Name:PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAPASSO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:908-902-8970
Mailing Address - Street 1:840 ECHO PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4209
Mailing Address - Country:US
Mailing Address - Phone:213-482-2040
Mailing Address - Fax:
Practice Address - Street 1:840 ECHO PARK AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4209
Practice Address - Country:US
Practice Address - Phone:213-482-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local