Healthcare Provider Details

I. General information

NPI: 1902410442
Provider Name (Legal Business Name): HOPE ELEMENTARY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 LA COLINA RD STE 14
SANTA BARBARA CA
93110-1596
US

IV. Provider business mailing address

3970 LA COLINA RD STE 14
SANTA BARBARA CA
93110-1596
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-2564
  • Fax:
Mailing address:
  • Phone: 805-682-2564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIKE THOMSON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 805-682-2564