=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013160894
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPTON UNIFIED SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2008
-----------------------------------------------------
Last Update Date | 10/24/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 417 W ALONDRA BLVD
-----------------------------------------------------
City | COMPTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90220-4638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-604-2780
-----------------------------------------------------
Fax | 310-898-1323
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 417 W ALONDRA BLVD
-----------------------------------------------------
City | COMPTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90220-4638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-604-2780
-----------------------------------------------------
Fax | 310-898-1323
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | JEWEL FORBES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 310-639-4321
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------