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NPI Code Detail

MEDICARE: GLENDORA UNIFIED SCHOOL DISTRICT

MEDICARE: GLENDORA 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)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730373465
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLENDORA UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 500 N LORAINE AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2964
Country : US
Telephone Number : 626-963-1111
Fax Number :
Provider Business Practice Location Address
First Line : 500 N LORAINE AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2964
Country : US
Telephone Number : 626-963-1111
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF STUDENT SUPPORT SERVICE
Name : MR. TED MCNEVIN
Credential :
Telephone Number : 626-963-1611
Provider Enumeration Date : 09/06/2007
Last Update Date : 09/06/2007

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1043964695 — SARAH BREITSCHWERDT
Practice Location Address:
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Practice Fax:
1093530008 — JASMINE MARIE ANDRADE
Practice Location Address:
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1750177069 — DAWN TAYLOR PPS, LEP
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Directions to “GLENDORA UNIFIED SCHOOL DISTRICT ” Practice Location

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