Healthcare Provider Details
I. General information
NPI: 1386522316
Provider Name (Legal Business Name): UPLAND UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
390 N EUCLID AVE
UPLAND CA
91786-4763
US
IV. Provider business mailing address
390 N EUCLID AVE
UPLAND CA
91786-4763
US
V. Phone/Fax
- Phone: 909-949-7804
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
AMIN
Title or Position: WELLNESS COACH/ CASE MANAGER
Credential:
Phone: 909-949-7804