Provider Demographics
NPI:1003113663
Name:WALNUT VALLEY UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WALNUT VALLEY UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:V
Authorized Official - Last Name:ANNICCHIARICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-595-1261
Mailing Address - Street 1:880 S LEMON AVE
Mailing Address - Street 2:EDUCATIONAL SERVICES
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2931
Mailing Address - Country:US
Mailing Address - Phone:909-595-1261
Mailing Address - Fax:909-839-1212
Practice Address - Street 1:880 S LEMON AVE
Practice Address - Street 2:EDUCATIONAL SERVICES
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-2931
Practice Address - Country:US
Practice Address - Phone:909-595-1261
Practice Address - Fax:909-839-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)