Provider Demographics
NPI:1497019103
Name:JULIAN UNION SCHOOL DISTRICT
Entity Type:Organization
Organization Name:JULIAN UNION SCHOOL DISTRICT
Other - Org Name:JULIAN UNION ELEMENTARY SCHOOL DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CBO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPTICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-765-0661
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:JULIAN
Mailing Address - State:CA
Mailing Address - Zip Code:92036-0337
Mailing Address - Country:US
Mailing Address - Phone:760-765-0661
Mailing Address - Fax:760-765-0220
Practice Address - Street 1:1704 CAPE HORN
Practice Address - Street 2:
Practice Address - City:JULIAN
Practice Address - State:CA
Practice Address - Zip Code:92036
Practice Address - Country:US
Practice Address - Phone:760-765-0661
Practice Address - Fax:760-765-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALEAOtherLOCAL EDUCATION AGENCY