| NPI | 1306267190 |
|---|---|
| Other Name | VIP SMIDT TECH HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | DUSTIN SCHIADA Clinical Director 323-221-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2020-01-10 |