1851429716 NPI number — GARDEN GROVE UNIFIED SCHOOL DISTRICT

Table of content: (NPI 1851429716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851429716 NPI number — GARDEN GROVE UNIFIED SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARDEN GROVE UNIFIED SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851429716
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10331 STANFORD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDEN GROVE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92840-6351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-663-6391
Provider Business Mailing Address Fax Number:
714-663-6399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9802 WOODBURY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDEN GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92844-2819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-663-6411
Provider Business Practice Location Address Fax Number:
714-663-6470
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HANSON
Authorized Official First Name:
DIANNE
Authorized Official Middle Name:
LYNNE
Authorized Official Title or Position:
DIRECTOR BUSINESS SERVICES
Authorized Official Telephone Number:
714-663-6323

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1458726 . This is a "PIN NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: SS3066522 . This is a "PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com