Provider Demographics
NPI:1205013752
Name:CHARTER OAK UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHARTER OAK UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-966-8331
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-0009
Mailing Address - Country:US
Mailing Address - Phone:626-966-8331
Mailing Address - Fax:626-339-0594
Practice Address - Street 1:20240 E CIENEGA AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1227
Practice Address - Country:US
Practice Address - Phone:626-966-8331
Practice Address - Fax:626-339-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)