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NPI Code Detail

MEDICARE: PASADENA UNIFIED SCHOOL DISTRICT

MEDICARE: PASADENA UNIFIED SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17567OTHERCAMEDI-CAL PROVIDER NUMBER

General Provider Information

NPI Number : 1093839607
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASADENA UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 2046 N. ALLEN AVE
Second Line :
City : ALTADENA
State : CA
Zip : 91001-3424
Country : US
Telephone Number : 626-396-5920
Fax Number : 626-791-6251
Provider Business Practice Location Address
First Line : 1520 N RAYMOND AVE BLDG 2-7
Second Line :
City : PASADENA
State : CA
Zip : 91103-1819
Country : US
Telephone Number : 626-396-5920
Fax Number : 626-791-6251
Authorized Official
Title or Position : DIRECTOR
Name : MS. ERICA KARLINE VILLALPANDO
Credential : LCSW 27714
Telephone Number : 626-396-5920
Provider Enumeration Date : 03/19/2007
Last Update Date : 04/07/2020

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1861742538 — MS. NATASHA G STEBBINS L.C.S.W.
Practice Location Address:
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Practice Fax:

Directions to “PASADENA UNIFIED SCHOOL DISTRICT ” Practice Location

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