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NPI Code Detail

MEDICARE: FULLERTON JOINT UHSD

MEDICARE: FULLERTON JOINT UHSD
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
13066514OTHERCAMEDICAL

General Provider Information

NPI Number : 1780740902
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULLERTON JOINT UHSD
Provider Business Mailing Address
First Line : 2777 DEL MONTE ST
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3811
Country : US
Telephone Number : 916-375-1707
Fax Number :
Provider Business Practice Location Address
First Line : 1051 W BASTANCHURY RD
Second Line :
City : FULLERTON
State : CA
Zip : 92833-2247
Country : US
Telephone Number : 714-870-2800
Fax Number :
Authorized Official
Title or Position : DEPUTY SUPERINTENDENT
Name : PATRICIA HOWELL
Credential :
Telephone Number : 714-870-2842
Provider Enumeration Date : 12/29/2006
Last Update Date : 08/22/2020

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Directions to “FULLERTON JOINT UHSD ” Practice Location

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