Provider Demographics
NPI:1073630505
Name:LONG BEACH UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LONG BEACH UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CATROPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-422-6868
Mailing Address - Street 1:1515 HUGHES WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-1865
Mailing Address - Country:US
Mailing Address - Phone:562-997-8323
Mailing Address - Fax:562-490-4260
Practice Address - Street 1:1515 HUGHES WAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90810-1865
Practice Address - Country:US
Practice Address - Phone:562-997-8323
Practice Address - Fax:562-490-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1964725OtherMEDI-CAL PROVIDER NUMBER