Provider Demographics
NPI:1629861703
Name:DISCOVERING INDEPENDENCE
Entity type:Organization
Organization Name:DISCOVERING INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISJONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-508-1768
Mailing Address - Street 1:15507 S NORMANDIE AVE # 178
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-4013
Mailing Address - Country:US
Mailing Address - Phone:310-508-1768
Mailing Address - Fax:
Practice Address - Street 1:9637 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-4523
Practice Address - Country:US
Practice Address - Phone:310-508-1768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services