Provider Demographics
NPI:1407998545
Name:WEST COVINA UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WEST COVINA UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIS CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MA
Authorized Official - Phone:626-939-4600
Mailing Address - Street 1:1717 W MERCED AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3406
Mailing Address - Country:US
Mailing Address - Phone:626-939-4600
Mailing Address - Fax:626-939-4819
Practice Address - Street 1:1717 W MERCED AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3406
Practice Address - Country:US
Practice Address - Phone:626-939-4600
Practice Address - Fax:626-939-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
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
CASS1965094Medicaid