Provider Demographics
NPI:1164035572
Name:THE PALMDALE AEROSPACE ACADEMY
Entity type:Organization
Organization Name:THE PALMDALE AEROSPACE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-273-3680
Mailing Address - Street 1:3300 E PALMDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-5036
Mailing Address - Country:US
Mailing Address - Phone:661-273-3680
Mailing Address - Fax:661-273-0850
Practice Address - Street 1:3300 E PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-5036
Practice Address - Country:US
Practice Address - Phone:661-273-3680
Practice Address - Fax:661-273-0850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)