Provider Demographics
NPI:1225154792
Name:IMPERIAL COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:IMPERIAL COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHONEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-312-6151
Mailing Address - Street 1:1398 SPERBER RD
Mailing Address - Street 2:BUILDING 2 SUITE101
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-9621
Mailing Address - Country:US
Mailing Address - Phone:760-312-6424
Mailing Address - Fax:760-312-6530
Practice Address - Street 1:1398 SPERBER RD
Practice Address - Street 2:BUILDING 2 SUITE101
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-9621
Practice Address - Country:US
Practice Address - Phone:760-312-6424
Practice Address - Fax:760-312-6530
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
CASS1310132Medicaid