Provider Demographics
NPI:1144427626
Name:VAL VERDE UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:VAL VERDE UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, BUSINESS SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:TERRANCE
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:951-940-6100
Mailing Address - Street 1:975 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-3103
Mailing Address - Country:US
Mailing Address - Phone:951-940-6100
Mailing Address - Fax:951-940-6111
Practice Address - Street 1:975 MORGAN ST
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-3103
Practice Address - Country:US
Practice Address - Phone:951-940-6100
Practice Address - Fax:951-940-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
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
CASS3375242Medicaid