Provider Demographics
NPI:1245396902
Name:LOMPOC UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LOMPOC UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTAVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-742-3301
Mailing Address - Street 1:1301 N A ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-3516
Mailing Address - Country:US
Mailing Address - Phone:805-736-2371
Mailing Address - Fax:805-736-4620
Practice Address - Street 1:1301 N A ST
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-3516
Practice Address - Country:US
Practice Address - Phone:805-736-2371
Practice Address - Fax:805-736-4620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)