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NPI Code Detail

MEDICARE: JURUPA USD

MEDICARE: JURUPA USD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SS3367090OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1396896841
Entity Type Code : Organization
Provider Name (Legal Business Name) : JURUPA USD
Provider Business Mailing Address
First Line : 4850 PEDLEY RD
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 92509-3966
Country : US
Telephone Number : 951-360-4100
Fax Number :
Provider Business Practice Location Address
First Line : 4850 PEDLEY RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92509-3966
Country : US
Telephone Number : 909-360-4100
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : ELLIOTT DUCHON
Credential :
Telephone Number : 909-360-4100
Provider Enumeration Date : 01/12/2007
Last Update Date : 11/12/2019

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1487501003 — SYDNEY RODRIGUEZ
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1376490995 — MS. JESSICA MORALES-HOLGUIN
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Directions to “JURUPA USD ” Practice Location

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