Provider Demographics
NPI:1932410677
Name:FOCUS PSYCHO EDUCATIONAL CONSULTANTS
Entity Type:Organization
Organization Name:FOCUS PSYCHO EDUCATIONAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KYRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-851-4577
Mailing Address - Street 1:1427 N LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7505
Mailing Address - Country:US
Mailing Address - Phone:323-851-4577
Mailing Address - Fax:323-878-0440
Practice Address - Street 1:1427 N LA BREA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7505
Practice Address - Country:US
Practice Address - Phone:323-851-4577
Practice Address - Fax:323-878-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1A-19-087251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health