Provider Demographics
NPI: | 1245388461 |
---|---|
Name: | ORANGE COUNTY DEPARTMENT OF EDUCATION |
Entity Type: | Organization |
Organization Name: | ORANGE COUNTY DEPARTMENT OF EDUCATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | COUNT Y SUPERINTENDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | WILLIAM |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | HABERMEDL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 714-966-4000 |
Mailing Address - Street 1: | 2777 DEL MONTE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST SACRAMENTO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95691-3811 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 916-375-1707 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 200 KALMUS DR |
Practice Address - Street 2: | |
Practice Address - City: | COSTA MESA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92626-5922 |
Practice Address - Country: | US |
Practice Address - Phone: | 714-966-4000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-05 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251300000X | Agencies | Local Education Agency (LEA) |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | 30-10306 | Other | MEDI-CAL |