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NPI Code Detail

MEDICARE: SAN DIEGO UNIFIED SCHOOL DISTRICT

MEDICARE: SAN DIEGO 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)

General Provider Information

NPI Number : 1588709869
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN DIEGO UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 4100 NORMAL ST
Second Line : ROOM 3151
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number : 619-725-7636
Fax Number : 619-725-7648
Provider Business Practice Location Address
First Line : 4100 NORMAL ST
Second Line : ROOM 3151
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number : 619-725-7636
Fax Number : 619-725-7648
Authorized Official
Title or Position : BUDGET ANALYST
Name : MRS. YOLANDA CAMACHO
Credential :
Telephone Number : 619-725-7636
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/22/2020

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Directions to “SAN DIEGO UNIFIED SCHOOL DISTRICT ” Practice Location

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