Healthcare Provider Details

I. General information

NPI: 1689995839
Provider Name (Legal Business Name): ONTARIO-MONTCLAIR SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 05/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S BON VIEW AVE
ONTARIO CA
91761-4408
US

IV. Provider business mailing address

950 W D ST
ONTARIO CA
91762-3026
US

V. Phone/Fax

Practice location:
  • Phone: 909-930-6793
  • Fax: 909-930-6798
Mailing address:
  • Phone: 909-418-6445
  • Fax: 909-459-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. JAMES HAMMOND
Title or Position: SUPERINTENDENT
Credential:
Phone: 909-418-6445