Provider Demographics
NPI:1356892947
Name:100 PERCENT COMPUTER LEARNING
Entity type:Organization
Organization Name:100 PERCENT COMPUTER LEARNING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:LIWAYWAY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-303-7607
Mailing Address - Street 1:903 N CENTRAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3523
Mailing Address - Country:US
Mailing Address - Phone:909-931-1600
Mailing Address - Fax:888-940-8889
Practice Address - Street 1:903 N CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3523
Practice Address - Country:US
Practice Address - Phone:909-931-1600
Practice Address - Fax:888-940-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health