Provider Demographics
NPI:1265992176
Name:GOLDEN VIEW LEARNING CENTER, LLC
Entity type:Organization
Organization Name:GOLDEN VIEW LEARNING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TATARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-493-0077
Mailing Address - Street 1:2404 F ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-2025
Mailing Address - Country:US
Mailing Address - Phone:619-493-0077
Mailing Address - Fax:
Practice Address - Street 1:2404 F ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-2025
Practice Address - Country:US
Practice Address - Phone:619-493-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty