Provider Demographics
NPI:1306034442
Name:BELLFLOWER UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BELLFLOWER UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIS CLERK
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COSHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-866-9011
Mailing Address - Street 1:16703 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5203
Mailing Address - Country:US
Mailing Address - Phone:562-866-9011
Mailing Address - Fax:562-866-3287
Practice Address - Street 1:16703 CLARK AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5203
Practice Address - Country:US
Practice Address - Phone:562-866-9011
Practice Address - Fax:562-866-3287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASSMedicaid