Provider Demographics
NPI:1073941613
Name:SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS
Entity Type:Organization
Organization Name:SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS
Other - Org Name:WEST END SELPA
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL ANALYST II
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATKOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-476-6133
Mailing Address - Street 1:8265 ASPEN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3291
Mailing Address - Country:US
Mailing Address - Phone:909-476-6133
Mailing Address - Fax:909-476-6162
Practice Address - Street 1:8265 ASPEN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3291
Practice Address - Country:US
Practice Address - Phone:909-476-6133
Practice Address - Fax:909-476-6162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)