Provider Demographics
NPI:1033267356
Name:WOODLAND JOINT UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WOODLAND JOINT UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELODIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTREGA-LAMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-406-3202
Mailing Address - Street 1:435 SIXTH STREET
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695
Mailing Address - Country:US
Mailing Address - Phone:530-662-0201
Mailing Address - Fax:
Practice Address - Street 1:435 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695
Practice Address - Country:US
Practice Address - Phone:530-662-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA57-72710OtherMEDI-CAL