Provider Demographics
NPI:1821826538
Name:NICK AND NORMAS NO CHILD LEFT BEHIND FUND
Entity type:Organization
Organization Name:NICK AND NORMAS NO CHILD LEFT BEHIND FUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-492-0487
Mailing Address - Street 1:PO BOX 7001
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91327-7001
Mailing Address - Country:US
Mailing Address - Phone:818-492-0487
Mailing Address - Fax:
Practice Address - Street 1:16845 E AVENUE M8
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-7161
Practice Address - Country:US
Practice Address - Phone:818-492-0487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty