Healthcare Provider Details
I. General information
NPI: 1093630378
Provider Name (Legal Business Name): SAN MARINO UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2701 HUNTINGTON DR
SAN MARINO CA
91108-2295
US
IV. Provider business mailing address
1665 WEST DR
SAN MARINO CA
91108-2558
US
V. Phone/Fax
- Phone: 626-299-7027
- Fax:
- Phone: 626-299-7000
- Fax: 626-299-7010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
CHOI
Title or Position: ASSISTANT SUPERINTENDENT, BUSINESS
Credential: ED.D.
Phone: 626-299-7000