Provider Demographics
NPI:1447395728
Name:PASADENA UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PASADENA UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM ASST SUPT FOR BUSINESS SER.
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HODGSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:626-795-6981
Mailing Address - Street 1:351 S HUDSON AVE
Mailing Address - Street 2:HEALTH PROGRAMS, ROOM 202
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-7000
Mailing Address - Country:US
Mailing Address - Phone:626-795-6981
Mailing Address - Fax:626-584-1540
Practice Address - Street 1:351 S HUDSON AVE
Practice Address - Street 2:HEALTH PROGRAMS, ROOM 202
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91109-7000
Practice Address - Country:US
Practice Address - Phone:626-795-6981
Practice Address - Fax:626-584-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
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
CASS1964881Medicaid