OrganizationActive
Academia Moderna
NPI 1275843369 · Local Education Agency (LEA) · Walnut Park, CA
Provider details
- NPI number
- 1275843369
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Authorized official
- Xavier Reyes, School Administrator
- License
- 0120097 (CA)
Practice location
2410 Broadway
Walnut Park, CA 90255-6342
Phone: (323) 251-7123
Fax: (323) 588-5354
Mailing address
2410 Broadway
Walnut Park, CA 90255-6342
Registry dates
- Enumerated
- 2010-10-07
- Last updated
- 2010-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.