Organization Active NPI

Abraham Lincoln High School

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1316115447
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ABRAHAM LINCOLN HIGH SCHOOL
Practice address
5723 E. Whittier Blvd.
Los Angeles, CA 90022
Phone
(323) 278-0100
Fax
(323) 728-9218
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jacqueline Cuellar Bravo, B.A
Title
Program Director
Phone
(323) 728-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5723 E. Whittier Blvd.
Los Angeles, CA 90022

Mailing address

3501 N Broadway
Los Angeles, CA 90031-2856
Phone (323) 728-0100

National Provider Directory

National Provider Directory
Tax ID family
Mela Counseling Services Center Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

3501 N Broadway
Los Angeles, CA 90031
Phone (323) 207-0213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1316115447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312856",
            "telephone_number": "323-728-0100",
            "fax_number": "323-728-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 E. WHITTIER BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-278-0100",
            "fax_number": "323-728-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM LINCOLN HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CUELLAR",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "323-728-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.