Provider Demographics
NPI:1053098152
Name:PREP ED PROGRAMS INC.
Entity type:Organization
Organization Name:PREP ED PROGRAMS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILES
Authorized Official - Suffix:III
Authorized Official - Credentials:CMPSS #MPSS-LKXQFH
Authorized Official - Phone:424-242-3087
Mailing Address - Street 1:2005 PALO VERDE AVE STE 251
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3322
Mailing Address - Country:US
Mailing Address - Phone:562-270-4833
Mailing Address - Fax:562-377-7961
Practice Address - Street 1:5150 CANDLEWOOD ST STE 22C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1929
Practice Address - Country:US
Practice Address - Phone:562-270-4833
Practice Address - Fax:562-377-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase Management